Individual
MADELINE WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
(218) 287-4338
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5719
ND
1041C0700X
Clinical Social Worker
Primary
28490
MN
Other
Enumeration date
07/14/2020
Last updated
08/31/2023
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