Organization
DEEP RIVER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN SCOTT DUMAS MSW, LICSW (PSYCHOTHERAPIST)
(612) 729-9869
Entity
Organization
Contact information
Practice address
2432 SEABURY AVE, MINNEAPOLIS, MN 55406-1454
(612) 729-9869
(612) 729-0201
Mailing address
2432 SEABURY AVE, MINNEAPOLIS, MN 55406-1454
(612) 729-9869
(612) 729-0201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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