Individual
MR. DANIEL CORVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MSW, LICSW
Contact information
Practice address
770 TRANSFER RD, SAINT PAUL, MN 55114-1418
(651) 728-0738
(651) 645-7307
Mailing address
1058 16TH AVE SE, MINNEAPOLIS, MN 55414-2410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19415
MN
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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