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Individual

SUSAN D. BUGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
8450 SEASONS PKWY, WOODBURY, MN 55125-4402
(651) 702-5300
(651) 702-5305
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13155
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1922051325
HUMAN SERVICES, INC.
MN
05
794855700
MN
Enumeration date
04/26/2010
Last updated
03/10/2021
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