Organization
CMW THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MARIE WILTGEN LICSW, LADC (OWNER)
(612) 801-2820
Entity
Organization
Contact information
Practice address
10877 KINGSVIEW LN N, MAPLE GROVE, MN 55369-7543
(612) 801-2820
Mailing address
10877 KINGSVIEW LN N, MAPLE GROVE, MN 55369-7543
(612) 801-2820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/23/2023
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