Individual
PAULA PATRICIA DAINE-DE BROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LICSW, LCSW
Contact information
Practice address
2501 HANLEY RD STE 101, HUDSON, WI 54016-8786
(715) 954-5300
(715) 954-5301
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8662
MN
1041C0700X
Clinical Social Worker
Primary
9290-123
WI
Other
Enumeration date
04/09/2013
Last updated
04/15/2025
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