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Individual

KATHERINE TERESE BOISEN MACDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1811 GREENVIEW PL SW, ROCHESTER, MN 55902-1002
(320) 293-2720
Mailing address
516 28TH ST NW, ROCHESTER, MN 55901-2370
(320) 293-2720

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20720
MN

Other

Enumeration date
02/20/2013
Last updated
03/09/2021
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