Individual
ORI WASSERBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2550 UNIVERSITY AVE W STE 216S, SAINT PAUL, MN 55114-1916
(952) 993-6200
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28308
MN
1041C0700X
Clinical Social Worker
28308
MN
Other
Enumeration date
06/14/2023
Last updated
01/09/2025
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