Individual
MEGAN DIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2533
(612) 668-0254
Mailing address
17551 BARRINGTON CT, MINNETONKA, MN 55345-6248
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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