Individual
MARY WETHERALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
730 E 38TH ST, MINNEAPOLIS, MN 55407-5217
(612) 217-0584
Mailing address
2949 BENJAMIN ST NE, MINNEAPOLIS, MN 55418-2305
(651) 500-0640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
31509
MN
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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