Individual
MICHAEL PAUL RYDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
911 18TH ST N, SAINT CLOUD, MN 56303-1203
(320) 650-1650
(320) 650-1528
Mailing address
PO BOX 2390, SAINT CLOUD, MN 56302-2390
(320) 650-1550
(320) 650-1528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6486
MN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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