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Individual

MR. GEORGE WAWRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC, MSW, LICSW

Contact information

Practice address
45 10TH ST W, SAINT PAUL, MN 55102-1062
(651) 326-3758
(651) 326-3900
Mailing address
1188 LEXINGTON PKWY N, SAINT PAUL, MN 55103-1032
(651) 326-3758
(651) 326-3900

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18078
MN

Other

Enumeration date
09/14/2009
Last updated
09/14/2009
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