Individual
MRS. KARA THERESA MARRIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1620 CHARLTON STREET #212, WEST ST. PAUL, MN 55118
(651) 402-3537
Mailing address
1620 CHARLTON STREET #212, WEST ST. PAUL, MN 55118
(651) 402-3537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15027
MN
Other
Enumeration date
03/11/2008
Last updated
02/22/2010
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