Individual
BETH ELLEN FEIKEMA BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1345 SUMMIT AVE, SAINT PAUL, MN 55105-2219
(651) 464-2194
Mailing address
1068 LAKE ST S, #12, FOREST LAKE, MN 55025-2639
(651) 464-2194
(651) 464-5744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2063
MN
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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