Vidovic, Mary Ellen Louise
Vidovic, Mary Ellen Louise is an individual health care provider with primary practice located at 1310 Highway 96 E Suite 200, White Bear Lake MN 55110-3624. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Vidovic, Mary Ellen Louise can be contacted via phone (651) 426-3071.Contact Information
Primary practice address
1310 Highway 96 E Suite 200
White Bear Lake MN 55110-3624
Phone: (651) 426-3071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 9587 | Minnesota |
Profile Details
| NPI number | 1881792174 |
|---|---|
| LBN Legal business name | Vidovic, Mary Ellen Louise |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Apr 10th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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