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Organization

DANIEL MARQUARDSEN THERAPY L.L.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL W MARQUARDSEN LP (PSYCHOLOGIST)
(218) 670-0205
Entity
Organization

Contact information

Practice address
25282 HAZELWOOD DR, NISSWA, MN 56468-2797
(218) 670-0205
Mailing address
18083 490TH ST, MCGREGOR, MN 55760-4514
(218) 670-0205

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4659
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295749687
NPI-1 NUMBER
MN
01
2000362848
MA #
MN
Enumeration date
02/22/2014
Last updated
02/22/2014
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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