Individual
ANGELA THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1000 1ST DR NW, AUSTIN, MN 55912-2941
(507) 279-1010
Mailing address
2523 RIVER RD, MARSHALL, MN 56258-5463
(507) 279-1010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17230
MN
Other
Enumeration date
08/18/2016
Last updated
02/08/2021
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