Individual
CAROLYN SARAH MENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1250 MOORE LAKE DR E STE 152, FRIDLEY, MN 55432-5135
(612) 389-2332
(612) 389-2338
Mailing address
1250 MOORE LAKE DR E STE 152, FRIDLEY, MN 55432-5135
(612) 389-2332
(612) 389-2338
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29946
MN
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2021
Last updated
04/14/2024
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