Individual
DIANE REESE BRUSIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8000
Mailing address
713 E DIVISION ST, RIVER FALLS, WI 54022-1533
(651) 269-3575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17153
MN
Other
Enumeration date
05/08/2007
Last updated
12/04/2008
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