Individual
ANN TERESA STROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
701 DECATUR AVE N STE 109, GOLDEN VALLEY, MN 55427-4363
(763) 746-2425
(763) 746-2401
Mailing address
701 DECATUR AVE N STE 109, GOLDEN VALLEY, MN 55427-4363
(763) 746-2425
(763) 746-2401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25580
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
07/11/2019
Last updated
07/11/2019
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