| NPI | 1497812622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GROSTEPHAN Licensed Social Worker 763-441-9712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN LICSW 841) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2019-04-29 |