Organization
DAWN DRAAYER-THIBODEAU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN DIANA DRAAYER-THIBODEAU MSW, LICSW (THERAPIST)
(952) 334-1213
Entity
Organization
Contact information
Practice address
4500 PARK GLEN RD, SUITE 155, ST LOUIS PARK, MN 55416-4871
(952) 334-1213
(952) 928-9774
Mailing address
4500 PARK GLEN RD, SUITE 155, ST LOUIS PARK, MN 55416-4871
(952) 334-1213
(952) 928-9774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15185
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78612312-00
—
MN
Enumeration date
04/02/2015
Last updated
04/02/2015
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