Individual
DOUGLAS ALAN DREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LICSW
Contact information
Practice address
10190 BALTIMORE ST NE, SUITE 110, BLAINE, MN 55449-5056
(763) 755-7612
(763) 775-2048
Mailing address
14701 HARPERS ST NE, HAM LAKE, MN 55304-6428
(763) 413-2829
(763) 413-5225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7998
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141257400
—
MN
Enumeration date
10/31/2005
Last updated
07/08/2007
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