Dunnavan, Mary Stevenson

Dunnavan, Mary Stevenson is an sole proprietor health care provider with primary practice located at 7200 France Avenue South Suite 234, Edina MN 55435. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Dunnavan, Mary Stevenson can be contacted via phone (952) 831-0601.

Contact Information

Primary practice address
7200 France Avenue South Suite 234 Edina MN 55435
Phone: (952) 831-0601
Fax: (952) 831-0614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1731 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 584 Minnesota
Behavioral Health & Social Service Providers / Social Worker 104100000X 01731 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0584 Minnesota

Profile Details

NPI number 1144298365
LBN Legal business name Dunnavan, Mary Stevenson
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Aug 25th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144298365 NPPES
Minnesota MEDICAID 827757500

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