Individual
MS. CHRISTINA L BAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 728-5399
(612) 728-5301
Mailing address
5628 POMPANO DR, MINNETONKA, MN 55343-4138
(952) 334-2591
(612) 728-5301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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