Individual
MADALYN MOUANOUTOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5323
Mailing address
1812 BRYANT AVE S APT 6, MINNEAPOLIS, MN 55403-3174
(763) 913-7243
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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