Individual
EBONEE M RONNINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LICSW
Contact information
Practice address
1301 8TH ST S, MOORHEAD, MN 56560-3604
(701) 234-3100
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-9802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24171
MN
1041C0700X
Clinical Social Worker
4601
ND
Other
Enumeration date
04/10/2021
Last updated
03/18/2022
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