Individual
CATHERINE SCHALLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
17208 77TH AVE N, MAPLE GROVE, MN 55311-3751
(763) 250-3270
Mailing address
17208 77TH AVE N, MAPLE GROVE, MN 55311-3751
(763) 250-3270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW 20832
MN
Other
Enumeration date
01/15/2017
Last updated
01/15/2017
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