Individual
DARA CEASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
6009 WAYZATA BLVD, 114, ST LOUIS PARK, MN 55416-1223
(651) 260-5419
Mailing address
6009 WAYZATA BLVD, 114, ST LOUIS PARK, MN 55416-1223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7784
MN
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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