Individual
SCENA DETHLEFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1212 E COLLEGE DR, MARSHALL, MN 56258-2010
(507) 532-3236
Mailing address
1212 E COLLEGE DR, MARSHALL, MN 56258-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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