Individual
KAO NOU LINDA MOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LGSW
Contact information
Practice address
539 PHALEN BLVD, SAINT PAUL, MN 55130-5303
(651) 300-9659
Mailing address
8271 76TH ST S, COTTAGE GROVE, MN 55016-2008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23906
MN
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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