Individual
COURTNEY M. ROONEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
714 WASHINGTON AVE, DETROIT LAKES, MN 56501-3012
(218) 847-1676
(218) 847-1678
Mailing address
304 2ND AVE NE, PERHAM, MN 56573-1817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15379
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046555
PREFERREDONE
FM
01
—
113312
UCARE MINNESOTA
MN
01
—
88G00RO
BLUE SHIELD OF MN
MN
Enumeration date
06/12/2006
Last updated
07/08/2007
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