Individual
ANGELA MICHELLE BRUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5200 WILLSON RD STE 307, EDINA, MN 55424-1344
(612) 405-5565
Mailing address
5200 WILLSON RD STE 307, EDINA, MN 55424-1344
(612) 405-5565
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19237
MN
Other
Enumeration date
03/20/2011
Last updated
03/04/2021
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