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Individual

MR. GARY LAWRENCE STEFFENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
5021 WILSHIRE BLVD, MOUND, MN 55364-1844
(952) 583-8901
Mailing address
5021 WILSHIRE BLVD, MOUND, MN 55364-1844
(952) 583-8901

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6005
MN

Other

Enumeration date
06/29/2011
Last updated
06/29/2011
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