Mary Vidovic, LICSW

NPI 1881792174 · on the registry since 2006

Practice

Address: 1310 Highway 96 E
Suite 200
White Bear Lake, MN 55110
Phone: (651) 426-3071
Organisation at this address: Zudac Enterprise
Amanda Vaske Llc
United Care Services
Mitchel V. Mondo, Inc.
Lux Family Chiropractic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-04-10

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