GINA THEISZ, LICSW

Social Worker - Clinical

Active Individual
NPI: 1407158496

Practice Address

308 12TH AVE S
Buffalo, MN 55313

Phone: (763) 682-4400

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 18283 (MN)

Frequently Asked Questions

NPI 1407158496 is the National Provider Identifier for GINA THEISZ, LICSW, a Social Worker - Clinical provider located in Buffalo, MN. This NPI was enumerated on November 23, 2010.
GINA THEISZ, LICSW practices at 308 12TH AVE S, Buffalo, MN 55313.

Quick Facts

NPI
1407158496
Type
Individual
Enumerated
Nov 23, 2010
Last Updated
Aug 30, 2011

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