Individual
AVA CHRISTINE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15379 60TH AVE N, PLYMOUTH, MN 55446-4541
(612) 965-3718
Mailing address
15379 60TH AVE N, PLYMOUTH, MN 55446-4541
(612) 965-3718
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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