Individual
MELANIE A ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
69 EXCHANGE ST W, SAINT PAUL, MN 55102-1004
(651) 232-3000
Mailing address
17328 HOLLAND AVE, LAKEVILLE, MN 55044-7820
(952) 891-4164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14155
MN
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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