Individual
CHIN THAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2035 COUNTY ROAD D E, MAPLEWOOD, MN 55109-5301
(612) 208-3768
Mailing address
2035 COUNTY ROAD D E, MAPLEWOOD, MN 55109-5301
(612) 208-3768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
26371
MN
Other
Enumeration date
08/23/2022
Last updated
01/07/2026
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