Organization
BRIAN E STAWARZ LP LMFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN EDMUND STAWARZ LP, LMFT (PSYCHOTHERAPIST)
(651) 247-0723
Entity
Organization
Contact information
Practice address
100 W 46TH ST STE 2C, MINNEAPOLIS, MN 55419-4950
(651) 247-0723
Mailing address
774 LOWER COLONIAL DR, MENDOTA HEIGHTS, MN 55118-2712
(651) 554-9154
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305472100
—
MN
Enumeration date
12/05/2011
Last updated
12/05/2011
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