Individual
MRS. STEPHANIE RUTH WARWAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
207 JEFFERSON BLVD, BIG LAKE, MN 55309-4667
(763) 367-6080
(763) 263-7897
Mailing address
10604 GRUNWALD AVE NW, MAPLE LAKE, MN 55358-2334
(218) 851-2089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21396
MN
Other
Enumeration date
11/01/2017
Last updated
02/25/2020
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