Individual
ANGELA DEPAUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 7TH ST W, SAINT PAUL, MN 55102-3007
(651) 309-1012
Mailing address
545 7TH ST W, SAINT PAUL, MN 55102-3007
(651) 309-1012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303964
MN
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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