Organization
DD OPATZ COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE DOCKENDORF OPATZ (OWNER / SOLE MEMBER)
(320) 309-8789
Entity
Organization
Contact information
Practice address
3333 W. DIVISION ST. STE 100, MIDTOWN SQUARE, ST. CLOUD, MN 56303
(320) 339-3226
Mailing address
823 ALDON DRIVE, ST. CLOUD, MN 56301
(320) 309-8789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1902
MN
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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