Individual
DAWN MARIE BERDAHL
Active
Individual
DAWN MARIE BERDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FOSTER CARE LICENSEE
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1049169-2-AFC
MN
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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