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Search › North Dakota › 101YM0800X

Lacey Corneliusen, LICSW

NPI 1871819979 · on the registry since 2010

Practice

Address
6301 19th Ave Nw
Minot, ND 58703
Phone
(701) 852-3628
Fax
(701) 852-1190
Organisation at this address
Dakota Family Services
Dakota Boys & Girls Ranch Association
Dakota Boys & Girls Ranch Association
Dakota Boys & Girls Ranch Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
1041C0700X
Licence states on file
ND
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-12-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota