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Dawn Ebeling

Social Worker, Clinical in Burnsville, MN. Individual provider (NPI-1).

NPI number1063051639
StatusActive
Last updated in NPPESDec 31, 2019

Details

NPI
1063051639
Entity type
Individual (NPI-1)
Name
Dawn Ebeling
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 31, 2019
Certification date
Dec 31, 2019
Last updated
Dec 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical15358MNYes

Practice location

2970 Judicial Rd Ste 100
Burnsville, MN 55337-7822

Phone 952-224-8990

Mailing address

5670 Fairlawn Shores Trl Se
Prior Lake, MN 55372-1968

Phone 612-518-3687

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