Individual
MRS. KATHERINE GRACE VREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW, LICSW
Contact information
Practice address
6005 SALEM RD SW, ROCHESTER, MN 55902-8825
(507) 281-3033
Mailing address
6005 SALEM RD SW, ROCHESTER, MN 55902-8825
(507) 281-3033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4226
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120874
MMSI PROVIDER #
—
01
—
136561
U-CARE PRACTICE PROVIDER
—
01
—
150611
U-CARE INDIVIDUAL PROVIDE
—
01
—
5211185
MN TAX ID
MN
01
—
68B54MU
BCBS CONTRACTING PROVIDER
MN
01
—
68B54MU
BHSI AGENCY PROVIDER
—
01
—
68B56MU
BCBS INDIVIDUAL PROVIDER
MN
01
—
68B56MU
BHSI INDIVIDUAL PROVIDER
—
Enumeration date
01/12/2007
Last updated
07/09/2007
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