Individual
MISS DENISE LYNN DWORAKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
311 RAMSEY ST # 205, SAINT PAUL, MN 55102-2323
(612) 554-9453
Mailing address
383 GRAND AVE APT 2, SAINT PAUL, MN 55102-2629
(612) 554-9453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00384
MN
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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