Individual
MCKENZIE E DAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6479
Mailing address
3441 CHERRY LN UNIT D, WOODBURY, MN 55129-7737
(763) 670-3302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29529
MN
Other
Enumeration date
07/31/2024
Last updated
12/19/2024
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