GINA MARIE THEISZ

BUFFALO, MN
NPI1407158496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  18283)
Enumeration Date2010-11-23
Last Update Date2011-08-30
Business Address
-- GINA MARIE THEISZ LICSW
308 12TH AVE S
BUFFALO, MN 55313-2321
Phone number: 763-682-4400
Mailing Address
-- GINA MARIE THEISZ LICSW
1321 13TH ST N
SAINT CLOUD, MN 56303-2613
Phone number: 320-252-5010