TIMOTHY WAYNE HIMANGO

SAINT PAUL, MN
NPI1558512145
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  14488)
Enumeration Date2008-10-01
Last Update Date2008-10-01
Business Address
-- TIMOTHY WAYNE HIMANGO LICSW
193 MARIA AVE
SAINT PAUL, MN 55106-6227
Phone number: 612-269-6075
Mailing Address
-- TIMOTHY WAYNE HIMANGO LICSW
193 MARIA AVE
SAINT PAUL, MN 55106-6227
Phone number: 612-269-6075
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