Individual
NAOMI CARGEOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 KENTUCKY AVE N STE 100, CRYSTAL, MN 55428-3370
(763) 202-4767
Mailing address
5701 KENTUCKY AVE N STE 100, CRYSTAL, MN 55428-3370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BIRTHDAY
05301999
—
Enumeration date
11/30/2021
Last updated
11/30/2021
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