Individual
AMANDA S MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
649 DAYTON AVE, SAINT PAUL, MN 55104-6631
(612) 436-4840
(612) 436-2604
Mailing address
2356 UNIVERSITY AVE W STE 430, SAINT PAUL, MN 55114-1860
(612) 436-4840
(612) 436-2606
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22087
MN
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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