Individual
DAYNE MARCUS BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW, LADC
Contact information
Practice address
1211 WINONA ST, NORTHFIELD, MN 55057-2830
(507) 382-8188
Mailing address
1211 WINONA ST, NORTHFIELD, MN 55057-2830
(507) 382-8188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304138
MN
1041C0700X
Clinical Social Worker
Primary
26497
MN
Other
Enumeration date
10/20/2020
Last updated
07/19/2024
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