Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 7193 | MN |
NPI | 1003088337 |
---|---|
Provider Name | Patricia Ann Meyer |
First Address | Saint Cloud, MN 56303-2015 |
Second Address | Saint Cloud, MN 56303-2015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2008 |
Last Update Date | 26/03/2008 |