Organization
ABC CHILD & FAMILY THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY M DAWLEY MSW, LICSW, RPT-S (DIRECTOR/THERAPIST)
(507) 536-7662
Entity
Organization
Contact information
Practice address
40 16TH ST SE, SUITE D, ROCHESTER, MN 55904-7987
(507) 536-7662
(507) 536-7664
Mailing address
PO BOX 894, ROCHESTER, MN 55903-0894
(507) 536-7662
(507) 536-7664
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8385
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144517100
—
MN
Enumeration date
05/15/2008
Last updated
10/24/2008
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