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Individual

MR. PAUL SEVETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW, BC-DMT

Contact information

Practice address
757 DELAWARE AVE, SAINT PAUL, MN 55107-2537
(651) 291-0942
Mailing address
757 DELAWARE AVE, SAINT PAUL, MN 55107-2537
(651) 291-0942

Taxonomy

Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12535
SOCIAL WORK LICENSE #12535
MN
Enumeration date
04/16/2020
Last updated
04/16/2020
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