Individual
MRS. DANNIELLE MARIE FLADTEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, CPRP
Contact information
Practice address
312 COUNTY ROAD D E, LITTLE CANADA, MN 55117-1275
(651) 600-7876
Mailing address
312 COUNTY ROAD D E, LITTLE CANADA, MN 55117-1275
(651) 600-7876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18463
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114353174
—
MN
Enumeration date
09/23/2013
Last updated
03/25/2018
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