Susan Marie Banal, LICSW
Social Worker, Clinical in St Louis Park, MN. Individual provider (NPI-1).
NPI number1629190814
StatusActive
Last updated in NPPESApr 19, 2017
Details
- NPI
- 1629190814
- Entity type
- Individual (NPI-1)
- Name
- Susan Marie Banal
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2007
- Last updated
- Apr 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 9380 | MN | Yes |
Practice location
5821 Cedar Lake Rd SSt Louis Park, MN 55416-1487
Phone 651-647-1900 · Fax 651-647-1861
Mailing address
4502 Timber Woods LnMinnetonka, MN 55345-2973
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All 140 Clinical Social Worker providers in St Louis Park · All 3,529 providers in St Louis Park
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