Individual
DIAMOND GOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 1ST AVE NE, NEW PRAGUE, MN 56071-1824
(507) 301-2846
Mailing address
3850 BALLANTRAE RD APT 8, EAGAN, MN 55122-1514
(708) 791-8444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33966
MN
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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