Individual
ANNALISE REHWALDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1519 CENTRAL PKWY STE 260, EAGAN, MN 55121-2488
(651) 212-4920
Mailing address
2100 HIGHLAND VIEW AVE S, BURNSVILLE, MN 55337-3021
(612) 404-4191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29221
MN
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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