Individual
COLLEEN PATRICIA HAVLIN BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1930 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-4708
(763) 427-7964
Mailing address
4284 DAHLBERG DRIVE, GOLDEN VALLEY, MN 55412-1210
(952) 562-6332
(952) 562-2827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18238
MN
Other
Enumeration date
03/23/2011
Last updated
02/24/2019
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