Individual
MR. MATTHEW RONALD DOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
5100 EDEN AVE, STE. 108, EDINA, MN 55436
(612) 360-3843
(952) 929-4581
Mailing address
5100 EDEN AVE, STE. 108, EDINA, MN 55436
(612) 360-3843
(952) 929-4581
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14602
—
1041C0700X
Clinical Social Worker
14602
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861472276
—
MN
Enumeration date
01/20/2006
Last updated
04/20/2009
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