Autumn Michelle Phenow, MSW, LICSW
NPI #1154980068 in Fridley, Minnesota
Provider Information
- NPI Number
- 1154980068
- Entity Type
- Individual
- Name
- Autumn Michelle Phenow, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Jun 13, 2019
- Last Updated
- Aug 22, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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