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Individual

MARCIA A DUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW / LICSW

Contact information

Practice address
610 E TAYLOR ST, PRAIRIE DU CHIEN, WI 53821-2109
(608) 326-6466
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7658
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11R10DU
BCBS
MN
01
124054
UCARE
MN
05
284057000
MN
Enumeration date
11/08/2005
Last updated
06/07/2017
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