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Individual

MARY MARGARET GALES-WENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
9075 QUADAY AVE NE, SUITE 102, OTSEGO, MN 55330-6672
(763) 746-9492
(763) 746-3685
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04518
MN

Other

Enumeration date
01/08/2007
Last updated
08/07/2008
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