Individual
MS. EMILY THERESE STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4969 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN 55422-5138
(763) 575-8086
Mailing address
3205 ENSIGN AVE N, NEW HOPE, MN 55427-1719
(651) 328-7027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27406
MN
1041C0700X
Clinical Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2017
Last updated
05/15/2023
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