Individual
MADELINE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4432 PARK AVE, MINNEAPOLIS, MN 55407-3540
(612) 801-9184
Mailing address
4432 PARK AVE, MINNEAPOLIS, MN 55407-3540
(612) 801-9184
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14073
MN
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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