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Individual

CLIFF DAHLBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LGSW, LADC

Contact information

Practice address
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2832
(763) 205-4843
Mailing address
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2832
(763) 205-4843

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306731
MN
104100000X
Social Worker
32328
MN

Other

Enumeration date
09/29/2023
Last updated
10/17/2023
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