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Individual

MRS. DANIELLE ELIZABETH FANSLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW, LADC

Contact information

Practice address
29 7TH ST NE, ROCHESTER, MN 55906-3644
(507) 289-2089
(507) 535-5798
Mailing address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 289-2089
(507) 535-5798

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306546
MN

Other

Enumeration date
12/13/2022
Last updated
12/13/2022
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