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NPI Code Detail

MEDICARE: AE VANG-XIONG LICSW

MEDICARE: AE VANG-XIONG LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker25014MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125014OTHERMNMINNESOTA BOARD OF SOCIAL WORK

General Provider Information

NPI Number : 1548893381
Entity Type Code : Individual
Provider Name (Legal Business Name) : AE VANG-XIONG LICSW
Provider Business Mailing Address
First Line : 1100 GLENWOOD AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-1430
Country : US
Telephone Number : 612-871-1454
Fax Number :
Provider Business Practice Location Address
First Line : 1100 GLENWOOD AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55405-1430
Country : US
Telephone Number : 612-781-1454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2020
Last Update Date : 06/01/2026

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Directions to “ AE VANG-XIONG LICSW” Practice Location

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