Individual
ALVA DYRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
910 LINCOLN AVE, DETROIT LAKES, MN 56501-3500
(218) 844-5689
(218) 844-5689
Mailing address
910 12TH AVE S, MOORHEAD, MN 56560-3614
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1195
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12N24DY
BCBSMN
MN
01
—
HP71178
HEALTH PARTNERS
MN
Enumeration date
05/07/2007
Last updated
07/08/2007
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