Individual
MS. CLARA ELIZABETH CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2520 PILOT KNOB RD, STE 190, MENDOTA HEIGHTS, MN 55120
(651) 452-1500
(651) 452-1502
Mailing address
2520 PILOT KNOB RD, STE 190, MENDOTA HEIGHTS, MN 55120
(651) 452-1500
(651) 452-1502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC LICSW 11315
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1042826
PREFERRED ONE
MN
01
—
548T9CA
BLUECROSS BLUESHIELD
MN
05
—
617822700
—
MN
01
—
6256242
UBH-MEDICA
MN
01
—
HP18896
HEALTH PARTNERS
MN
Enumeration date
08/09/2005
Last updated
12/19/2023
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