Individual
MS. SUE ANNE DALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 WHITE BEAR PKWY, CENTER FOR HUMAN DEVELOPMENT, WHITE BEAR LAKE, MN 55110-3678
(651) 426-8191
(651) 426-6766
Mailing address
4505 WHITE BEAR PKWY, CENTER FOR HUMAN DEVELOPMENT, WHITE BEAR LAKE, MN 55110-3678
(651) 426-8191
(651) 426-6766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00588
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103080
UCARE
MN
Enumeration date
10/03/2006
Last updated
07/08/2007
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