Individual
MARY CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-6219
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25173
MN
Other
Enumeration date
11/18/2025
Last updated
02/20/2026
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