Individual
ALLISEN DEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
800 MINNEHAHA AVE E # 400, SAINT PAUL, MN 55106-4437
(651) 808-1989
Mailing address
175 COUNTY ROAD B2 E APT 306, LITTLE CANADA, MN 55117-1507
(651) 808-1989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28139
MN
Other
Enumeration date
07/05/2021
Last updated
08/27/2024
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