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Individual
DR. RICHARD EDWIN CLOSE
Active
Individual
DR. RICHARD EDWIN CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMIN, MA,LICSW, LMFT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07734
MN
106H00000X
Marriage & Family Therapist
0067
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
636357100
—
MN
Enumeration date
07/18/2006
Last updated
12/15/2018
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