Individual
IZAAK RIVER DAVISON-KERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13100 WAYZATA BLVD, MINNETONKA, MN 55305-1802
(952) 206-2040
Mailing address
3028 EWING AVE S APT 101, MINNEAPOLIS, MN 55416-4245
(612) 274-5017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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