Individual
MS. DANA M MOSTOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
659 BIELENBERG DR STE 100, WOODBURY, MN 55125-1707
(612) 274-7419
(651) 259-9780
Mailing address
659 BIELENBERG DR STE 100, WOODBURY, MN 55125-1707
(612) 274-7419
(651) 259-9780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20849
MN
1041C0700X
Clinical Social Worker
9354
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508814625
—
SC
Enumeration date
08/18/2009
Last updated
04/20/2018
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