Individual
DIANNE MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 GIRARD AVE N, MINNEAPOLIS, MN 55411-3128
(612) 521-2116
(612) 287-9818
Mailing address
317 YORK AVENUE, SAINT PAUL, MN 55130-4039
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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