Individual
GERALD WAYNE DUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL CENTRACARE HEALTH PLAZA, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 255-5806
Mailing address
1406 6TH AVENUE NORTH, ST CLOUD HOSPITAL, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 255-5806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3286
MN
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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