Individual
BRIANNE WALLGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
122 CASE AVE, SAINT PAUL, MN 55117-5049
(218) 780-7931
Mailing address
1150 CENTRE POINTE CURV, MENDOTA HEIGHTS, MN 55120-1264
(651) 917-9111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23400
MN
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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