Individual
COLETTE ROSE NERON ELLENBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3701 12TH ST N, SUITE 203, SAINT CLOUD, MN 56303-2255
(218) 631-5993
(218) 631-7043
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10224
MN
Other
Enumeration date
05/21/2012
Last updated
05/20/2015
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