MICHAEL THOMAS MYNCZYWOR

SAINT CLOUD, MN
NPI1831108828
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  16646)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
-- MICHAEL THOMAS MYNCZYWOR LICSW
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-255-6480
Mailing Address
-- MICHAEL THOMAS MYNCZYWOR LICSW
618 ASH STREET SOUTH
SAUK CENTRE, MN 56378
Phone number: 320-351-9757
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