Individual
CAITLIN ROSE THARALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
209 SNELLING AVE N, SAINT PAUL, MN 55104-6326
(435) 674-9310
(435) 674-9309
Mailing address
209 SNELLING AVE N, SAINT PAUL, MN 55104-6326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22855
MN
Other
Enumeration date
04/26/2016
Last updated
12/16/2024
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