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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORE RAYMOND PAGE, LICSW

Active Sole Proprietor

THEODORE RAYMOND PAGE, LICSW is a Clinical Social Worker healthcare provider located in SAINT PAUL, Minnesota. NPI 1083772313 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SAINT PAUL, MN

Registration Details

NPI Number
1083772313
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2006 (19.502085486291 yrs)
Last Updated
Feb 11, 2008
License
15079 (MN)
Sole Proprietor
Yes

Practice Information

Address
491 OHIO ST
SAINT PAUL, MN, 551072656
Browse MN providers · Browse ZIP 55107
Phone
6512781771
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SAINT PAUL, MN

Name Credential NPI
MS. MARY CLAIRE WAHLBERG LICSW 1518966787
MS. MARY ELLEN JAEHNE LICSW 1659370831
MS. RACHEL ELIZABETH RICHARDSON LICSW 1578562716
MS. EMILIA GODINEZ LICSW 1972502045
MS. SUSAN PATRICIA SETHNA LICSW 1770582652
GRANT EDWARD BOOTH MSW, LICSW, ACSW 1972504728
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.