Individual
AUTUMN RENEE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 990-4516
Mailing address
3709 LONGFELLOW AVE, MINNEAPOLIS, MN 55407
(612) 990-4516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32508
MN
374J00000X
Doula
—
—
Other
Enumeration date
11/16/2009
Last updated
12/07/2023
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