SearchMinnesota1041C0700X

Carolyn Menger, LICSW

NPI 1063175735 · on the registry since 2021

Practice

Address
1250 Moore Lake Dr E Ste 152
Fridley, MN 55432
Phone
(612) 389-2332
Fax
(612) 389-2338
Organisation at this address
Ryze Inc
Tilah Care
Allied Care Inc
Specialysts, Inc.
Wild Recovery Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
390200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota