Individual
ANDREA LEE DALZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 454-7205
Mailing address
916 S 7TH ST, BRAINERD, MN 56401-4035
(218) 851-6906
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24265
MN
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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