Individual
CHERYL VICTORIA PAULAHA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Mailing address
540 E 1ST ST, WACONIA, MN 55387-1601
(952) 442-4437
(952) 442-3084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05821
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040727
PREFERRED ONCE
MN
01
—
131510
U-CARE
MN
01
—
320K8PA
BLUECROSSBLUESHIELD
MN
01
—
4037501
METROPOLITAN HEALTH PLAN
MN
01
—
6239665
UBH-MEDICA
MN
Enumeration date
08/15/2005
Last updated
07/08/2007
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