Individual
MARY GUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
7250 FRANCE AVE S, SUITE 302, EDINA, MN 55435-4305
(952) 303-6832
(952) 303-3434
Mailing address
7250 FRANCE AVE S, SUITE 302, EDINA, MN 55435-4305
(952) 303-6832
(952) 303-3434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9851
MN
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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