Individual
MS. PATRICIA MULLIN AHRENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Mailing address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
513
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017800
PREFERRED ONE
MN
01
—
172038
U-CARE
MN
01
—
22F12AH
BLUECROSSBLUESHIELD
MN
01
—
6243814
UBH-MEDICA
MN
01
—
HP30775
HEALTH PARTNERS
MN
Enumeration date
08/15/2005
Last updated
07/08/2007
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