Individual
ALEXANDRA BONYATA THIMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
790 CLEVELAND AVE S STE 217, SAINT PAUL, MN 55116-3845
(612) 454-1656
(651) 560-3768
Mailing address
658 GRAND AVE STE 201&202, SAINT PAUL, MN 55105-3417
(612) 454-1656
(651) 560-3768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29349
MN
Other
Enumeration date
01/05/2023
Last updated
04/03/2025
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