Individual
AUDREY RIVENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MARKET ST STE 4A, WINONA, MN 55987-5532
(507) 452-5033
Mailing address
4959 W 9TH ST, WINONA, MN 55987-1263
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
30230
MN
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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