Individual
ADAM CORON MCCONNAUGHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
920 33RD AVE N, SAINT CLOUD, MN 56303-2236
(651) 968-1467
Mailing address
920 33RD AVE N, SAINT CLOUD, MN 56303-2236
(651) 968-1467
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24894
MN
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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