| NPI | 1942683669 |
|---|---|
| Doing Business As | VIAN M GREDVIG |
| Entity Type | Organization |
| Authorized Contact | VIAN MAUREEN GREDVIG Sole Owner And Provider 952-224-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 6577) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2023-02-04 |