Organization
ANGELA BRUST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA MICHELLE BRUST LICSW (PSYCHOTHERAPIST)
(612) 987-8070
Entity
Organization
Contact information
Practice address
5200 WILLSON RD STE 307, EDINA, MN 55424-1344
(612) 987-8070
Mailing address
5960 NEWTON AVE S, MINNEAPOLIS, MN 55419-2017
(612) 987-8070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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