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Individual

MR. RICHARD E FINGARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW LICSW LMFT

Contact information

Practice address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855
Mailing address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
46
MN
106H00000X
Marriage & Family Therapist
Primary
161
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115445C851
UCARE
01
39501
OPTUM
05
554057700
MN
01
6201665
MEDICA
01
68163FI
BCBS
01
922241001300
PREFERRED ONE
01
HP25421
HEALTH PARTNERS
Enumeration date
06/11/2006
Last updated
01/27/2010
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