PA DER VANG

SAINT PAUL, MN
NPI1548326861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  16511)
Enumeration Date2006-12-29
Last Update Date2015-12-29
Business Address
Dr. PA DER VANG LICSW
916 RICE ST
SAINT PAUL, MN 55117-5425
Phone number: 651-290-9200
Mailing Address
Dr. PA DER VANG LICSW
7421 CHESHAM LN
WOODBURY, MN 55125-2726
Phone number: 651-210-9534