Individual
MARY VORPAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5700 BOTTINEAU BLVD STE 210, CRYSTAL, MN 55429-3184
(763) 330-2774
(763) 330-2775
Mailing address
5700 BOTTINEAU BLVD STE 210, CRYSTAL, MN 55429-3184
(763) 330-2774
(763) 330-2775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17064
MN
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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