Individual
KEN WILFRED SCHMITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2469 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1534
(651) 659-0294
Mailing address
2469 UNIVERSITY AVE W, SAINT PAUL, MN 55114-1534
(651) 659-0294
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00099
MN
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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