Individual
MARY WARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 MINNEHAHA AVE, MINNEAPOLIS, MN 55404-3107
(651) 955-3401
Mailing address
2105 MINNEHAHA AVE, MINNEAPOLIS, MN 55404-3107
(651) 955-3401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19452
MN
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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