Thomas Gwynne Wales MSW LICSW

NPI 1245491877 - Social Worker - 1041C0700X

NPI Details
NPI 1245491877
Gender Male
Enumeration Date 06/17/2008
Last Updated 06/18/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
627 SNELLING AVE S
SUITE 200
SAINT PAUL MN, 55116-1590, US
Phone (651) 699-1062
Fax
Business Location
627 SNELLING AVE. S
SUITE 200
ST. PAUL MN, 55116, US
Phone (651) 699-1062
Fax (651) 699-1084
Toxanomy
Taxonomy Code 1041C0700X
License State Minnesota
License Number 14061
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According to our database, Mr. Thomas Gwynne Wales MSW LICSW NPI is 1245491877, taxonomy code is 1041C0700X and license number is 14061, license state is located at Minnesota. Thomas Gwynne Wales MSW LICSW physically located at 627 Snelling Ave S, Saint Paul MN, 55116-1590. NPI Number Thomas Gwynne Wales MSW LICSW has the Individual type.

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1245491877 NPI number is provided on an as is basis without warranty of any kind. 1245491877 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Gwynne Wales MSW LICSW are for informational purposes only.