Individual
ELLI M REGINEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
(320) 656-7115
Mailing address
816 10TH AVE NE, RICE, MN 56367-4517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18677
MN
Other
Enumeration date
07/12/2017
Last updated
08/11/2017
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