Organization
CATHERINE A. MCDONALD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A MCDONALD LICSW (OWNER)
(218) 326-3390
Entity
Organization
Contact information
Practice address
412 N POKEGAMA AVE STE 16, GRAND RAPIDS, MN 55744-2684
(218) 326-3390
Mailing address
412 N POKEGAMA AVE STE 16, GRAND RAPIDS, MN 55744-2684
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7789
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132327000
—
MN
01
—
179M6MC
BCBS GROUP
MN
01
—
488857
VALUE OPTIONS
MN
01
—
6265929
MEDICA ID
MN
Enumeration date
10/24/2006
Last updated
06/23/2008
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