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Individual

DAVID GLENN RUNION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.M.F.T.

Contact information

Practice address
2115 COUNTY ROAD D E, SUITE B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591
Mailing address
2115 COUNTY ROAD D E, SUITE B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1256
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03N72RU
BLUE CROSS BLUE SHIELD
MN
01
136100
BHP - UCARE
MN
01
273113
COMPSYCH EAP
MN
01
HP49304
HEALTH PARTNERS
MN
Enumeration date
12/06/2006
Last updated
07/09/2007
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