CARL PETER SPORER

SAINT PAUL, MN
NPI1417131103
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  05957)
Enumeration Date2007-12-18
Last Update Date2007-12-18
Business Address
Mr. CARL PETER SPORER LICSW
1919 UNIVERSITY AVE W STE 6
SAINT PAUL, MN 55104-3453
Phone number: 651-641-1555
Mailing Address
Mr. CARL PETER SPORER LICSW
6901 W 84TH ST APT 363
BLOOMINGTON, MN 55438-3107
Phone number:
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