Individual
DIANE MARIE SHARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
3005 JAMES AVE S, MINNEAPOLIS, MN 55408-2533
(612) 871-4250
(612) 823-1820
Mailing address
3005 JAMES AVE S, MINNEAPOLIS, MN 55408-2533
(612) 871-4250
(612) 823-1820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10087
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18469
HEALTH PARTNERS
MN
01
—
6200913
UNITEDBEHAVIORALHEALTH
MN
01
—
6G028SH
BLUECROSSBLUESHIELD
MN
Enumeration date
01/24/2007
Last updated
07/08/2007
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