Individual
MS. MARY STEVENSON DUNNAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7200 FRANCE AVENUE SOUTH, SUITE 234, EDINA, MN 55435
(952) 831-0601
(952) 831-0614
Mailing address
7200 FRANCE AVENUE SOUTH, SUITE 234, EDINA, MN 55435
(952) 831-0601
(952) 831-0614
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01731
MN
1041C0700X
Clinical Social Worker
1731
MN
106H00000X
Marriage & Family Therapist
0584
MN
106H00000X
Marriage & Family Therapist
584
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
827757500
—
MN
Enumeration date
03/14/2006
Last updated
08/25/2010
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