Individual
CARA JEAN CHAVIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1000
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14662
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
317GICH
BLUE CROSS
MN
01
—
412781043716
PREF ONE
—
01
—
450447212
CHAMPUS
—
05
—
722692600
—
MN
01
—
HP54424
HEALTH PART
—
Enumeration date
09/07/2006
Last updated
04/14/2016
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