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Individual

AE VANG-XIONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1501 XERXES AVE N, MINNEAPOLIS, MN 55411-2851
(612) 294-2655
(612) 728-2095
Mailing address
1501 XERXES AVE N, MINNEAPOLIS, MN 55411-2851
(612) 294-2655
(612) 728-2095

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25014
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25014
MINNESOTA BOARD OF SOCIAL WORK
MN
Enumeration date
02/20/2020
Last updated
02/20/2020
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