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Individual

MR. BERNARD ALAN SLUTSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A. LICSW

Contact information

Practice address
7225 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
(763) 541-8176
(763) 201-1095
Mailing address
7225 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5501
(763) 541-8176
(763) 201-1095

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02932
MN

Other

Enumeration date
09/25/2006
Last updated
07/08/2007
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