Individual
THERESA REUVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
21378 ELMORE AVE, FARIBAULT, MN 55021-7883
(507) 210-4276
Mailing address
21378 ELMORE AVE, FARIBAULT, MN 55021-7883
(507) 210-4276
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
22678
MN
Other
Enumeration date
06/13/2016
Last updated
07/08/2016
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