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Individual

MADILYNE DREW HARMSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW

Contact information

Practice address
14949 62ND ST N, STILLWATER, MN 55082-6132
(651) 275-7400
Mailing address
3030 HOLMES AVE S APT S141, MINNEAPOLIS, MN 55408-2370
(612) 433-3078

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
27922
MN

Other

Enumeration date
05/05/2016
Last updated
01/18/2023
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