Individual
ELIZABETH ANNE NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
69 EXCHANGE ST W, SAINT PAUL, MN 55102-1004
(651) 326-3259
Mailing address
69 EXCHANGE ST W, SAINT PAUL, MN 55102-1004
(651) 326-3259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11724
MN
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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