CHARLENE HANISCH THEISEN, MS LICSW

MS LICSW

Clinical Social Worker

NPI: 1437195641Individual

Specialties, Licenses & Credentials

Social Worker

Code: 104100000X

12147(MN)

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

Contact & Hours

Address: 850 1ST AVE SOUTH
SAINT CLOUD, MN 56301
Phone: (320) 308-3171

Quick Facts

NPI: 1437195641
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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