Individual
PAULA MARIE NYSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
652 BIELENBERG DR STE 104, WOODBURY, MN 55125-4416
(651) 529-4328
Mailing address
332 DUKE ST, SAINT PAUL, MN 55102-3202
(651) 529-4328
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29784
MN
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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