Individual
MELINDA TERHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
110 6TH AVE S, SAINT CLOUD, MN 56301-5209
(320) 253-5930
(651) 925-0057
Mailing address
600 25TH AVE S, STE 109, SAINT CLOUD, MN 56301-4820
(320) 255-0343
(320) 654-0313
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24426
MN
Other
Enumeration date
03/08/2018
Last updated
01/28/2020
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