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

MARY VIOLA THALBERG, MS, LICSW

Active Sole Proprietor

MARY VIOLA THALBERG, MS, LICSW is a Clinical Social Worker healthcare provider located in DEERWOOD, Minnesota. NPI 1912009242 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · DEERWOOD, MN

Registration Details

NPI Number
1912009242
Provider Type
Individual
Gender
Female
NPI Issued
Sep 5, 2006 (19.918442418137 yrs)
Last Updated
Jul 8, 2007
License
12496 (MN)
Sole Proprietor
Yes

Practice Information

Address
15197 STATE HIGHWAY 6
DEERWOOD, MN, 564448443
Browse MN providers · Browse ZIP 56444
Phone
3208944839
Primary Specialty
Clinical Social Worker
1041C0700X
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.