Individual
MRS. ANN CATHERINE WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 225-1500
(507) 225-1501
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12600
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383633900
—
MN
01
—
533G9WH
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/06/2006
Last updated
09/27/2021
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