Individual
CAITLYN M. SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-5000
(952) 993-3248
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18706
MN
1041C0700X
Clinical Social Worker
18706
MN
Other
Enumeration date
08/31/2012
Last updated
09/27/2023
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