MEDICARE: PAULINE SVARE

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
1	251S00000X	Community/Behavioral Health Agency	2394	MN

General Provider Information

NPI Number	:	1962802041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAULINE SVARE

Provider Business Mailing Address
First Line	:	7700 ABBOTT AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-2839
Country	:	US
Telephone Number	:	763-229-1283
Fax Number	:

Provider Business Practice Location Address
First Line	:	7700 ABBOTT AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-2839
Country	:	US
Telephone Number	:	763-229-1283
Fax Number	:

Authorized Official
Title or Position	:	SCHOOL BASED THERAPIST
Name	:	MS. PAULINE APRIL SVARE
Credential	:	M.A., LMFT
Telephone Number	:	763-229-1283

Provider Enumeration Date	:	08/26/2014
Last Update Date	:	08/26/2014

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Directions to “PAULINE SVARE ” Practice Location

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