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Individual

MS. JULIE KAY THEISMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2025 STEARNS WAY STE 111, SAINT CLOUD, MN 56303-1275
(320) 253-3540
(320) 253-1475
Mailing address
2025 STEARNS WAY, SAINT CLOUD, MN 56303-4491
(320) 253-3540
(320) 253-1475

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06194
MN

Other

Enumeration date
08/15/2006
Last updated
12/11/2007
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