| Sharon Grostephan, Licsw | |
|
1660 S Highway 100 Suite 428 St Louis Park MN 55416-1533 | |
| (612) 597-6585 | |
| Not Available |
| Full Name | Sharon Grostephan, Licsw |
|---|---|
| Speciality | Social Worker |
| Location | 1660 S Highway 100, St Louis Park, Minnesota |
| Authorized Official Name and Position | Sharon Grostephan (LICENSED SOCIAL WORKER) |
| Authorized Official Contact | 7634419712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Grostephan, Licsw 1660 S Highway 100 Suite 428 St Louis Park MN 55416-1533 Ph: (612) 597-6585 | Sharon Grostephan, Licsw 1660 S Highway 100 Suite 428 St Louis Park MN 55416-1533 Ph: (612) 597-6585 |
| NPI Number | 1497812622 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 04/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497812622 | NPI | - | NPPES |
| 834358600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | LICSW 841 (Minnesota) | Primary |
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