Individual
ABBIE MARIE VANDER MATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6120 EARLE BROWN DR STE 520, BROOKLYN CENTER, MN 55430-4112
(763) 531-0566
Mailing address
6120 EARLE BROWN DR STE 520, BROOKLYN CENTER, MN 55430-4112
(763) 531-0566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21765
MN
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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