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Individual

DANELLE BREITENFELDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
324 BROADWAY ST STE 206, ALEXANDRIA, MN 56308-1482
(320) 762-1762
Mailing address
324 BROADWAY ST STE 206, ALEXANDRIA, MN 56308-1482
(218) 348-6657

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21519
MN

Other

Enumeration date
07/14/2016
Last updated
01/11/2022
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