Individual
AMALIA MONGIAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
2944 ZARTHAN AVE S, ST LOUIS PARK, MN 55416-1812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26676
MN
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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