Individual
BHARGAVI SHILEDAR BAXI GHATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5009 EXCELSIOR BLVD, SUITE 134, SAINT LOUIS PARK, MN 55416-3041
(612) 360-5685
Mailing address
5009 EXCELSIOR BLVD, SUITE 134, SAINT LOUIS PARK, MN 55416-3041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13697
MN
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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