Healthcare Provider Details

I. General information

NPI: 1104680503
Provider Name (Legal Business Name): CLIODHNA BRIDGET ALBRIGHT MSW, LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 CARLSON ST
MARSHALL MN
56258-2626
US

IV. Provider business mailing address

616 W LYON ST
MARSHALL MN
56258-3018
US

V. Phone/Fax

Practice location:
  • Phone: 507-476-4800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number31569
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: