Devriendt, Callie Sue

Devriendt, Callie Sue is an individual health care provider with primary practice located at 102 W 1St St , Duluth MN 55802-2006. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Devriendt, Callie Sue can be contacted via phone (218) 722-7431.

Contact Information

Primary practice address
102 W 1St St Duluth MN 55802-2006
Phone: (218) 722-7431
Fax: (218) 722-0850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 20402 Minnesota

Profile Details

NPI number 1245579697
LBN Legal business name Devriendt, Callie Sue
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2013
Last updated Feb 5th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245579697 NPPES
Minnesota Other 20402 STATE LICENSE NUMBER

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