Mahoney, Timothy

Mahoney, Timothy is an individual health care provider with primary practice located at 426 West Ave , Red Wing MN 55066-2473. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mahoney, Timothy can be contacted via phone (651) 385-6180.

Contact Information

Primary practice address
426 West Ave Red Wing MN 55066-2473
Phone: (651) 385-6180
Fax: (651) 385-6195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 02502 Minnesota

Profile Details

NPI number 1003850512
LBN Legal business name Mahoney, Timothy
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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