Individual
MR. DANIEL L MONSERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
409 17TH AVE N, SOUTH ST PAUL, MN 55075-1835
(612) 407-8072
Mailing address
409 17TH AVE N, SOUTH ST PAUL, MN 55075-1835
(612) 407-8072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16355
MN
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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