Individual
RICHARD L DEBEAU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1016 SWIFT ST S, SHAKOPEE, MN 55379-2953
(952) 403-9274
Mailing address
1016 SWIFT ST S, SHAKOPEE, MN 55379-2953
(952) 403-9274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
209
MN
106H00000X
Marriage & Family Therapist
Primary
30
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5G863ME
BLUE CROSS/BLUE SHIELD
MN
Enumeration date
07/05/2005
Last updated
09/11/2025
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