Individual
MRS. DAWN DIANA DRAAYER-THIBODEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4500 PARK GLEN RD STE 155, ST LOUIS PARK, MN 55416-4888
(952) 334-1213
(952) 928-9774
Mailing address
12848 INDEPENDENCE AVE, SAVAGE, MN 55378-1189
(952) 334-1213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15185
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78612312-00
—
MN
Enumeration date
11/06/2006
Last updated
07/08/2007
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