Individual
FOWSA SABTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3172 RIVERVIEW AVE, EAGAN, MN 55121-5200
(612) 540-8035
Mailing address
3172 RIVERVIEW AVE, EAGAN, MN 55121-5200
(612) 540-8035
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MN
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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