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Individual

LADONNA RAE MEINECKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
11475 ROBINSON DR NW, MAIL STOP 32600A, COON RAPIDS, MN 55433-3746
(763) 754-4600
(763) 754-4614
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5790
(952) 883-5395

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2591
MN

Other

Enumeration date
02/15/2006
Last updated
09/11/2014
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