THEODORE RAYMOND PAGE

SAINT PAUL, MN
NPI1083772313
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  15079)
Enumeration Date2006-12-06
Last Update Date2008-02-11
Business Address
-- THEODORE RAYMOND PAGE LICSW
491 OHIO ST
SAINT PAUL, MN 55107-2656
Phone number: 651-278-1771
Mailing Address
-- THEODORE RAYMOND PAGE LICSW
491 OHIO ST
SAINT PAUL, MN 55107-2656
Phone number: 651-278-1771