Individual
MR. BRIAN ANTHONY THEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
160 KELLOGG BLVD E, MS 8200, SAINT PAUL, MN 55101-1420
(651) 266-4392
Mailing address
3933 38TH AVE S, MINNEAPOLIS, MN 55406-3411
(651) 266-4392
(651) 266-4443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11273
MN
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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