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Individual

MR. RICHARD L GIOVANNETTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW LICSW

Contact information

Practice address
253 8TH ST NW, SUITE A, ELK RIVER, MN 55330-1598
(763) 441-3770
(763) 441-9057
Mailing address
1321 13TH ST N, ST CLOUD, MN 56303-2614
(320) 252-5010
(320) 203-1855

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11153
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110623C851
UCARE
01
19813
OPTUM
01
6204533
MEDICA
05
675022200
MN
01
7H616GI
BCBS
01
922241022711
PREFERRED ONE
01
HP25258
HEALTH PARTNERS
Enumeration date
06/20/2006
Last updated
01/27/2010
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