Organization
CROW RIVER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS E DANIEL MSW, LICSW (THERAPIST)
(763) 682-2011
Entity
Organization
Contact information
Practice address
1200 HIGHWAY 25 N, SUITE 108, BUFFALO, MN 55313-2930
(763) 682-2011
(763) 682-2165
Mailing address
1200 HIGHWAY 25 N, SUITE 108, BUFFALO, MN 55313-2930
(763) 682-2011
(763) 682-2165
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
LICSW 11618
MN
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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