Catherine A. Mcdonald | |
412 N Pokegama Ave Ste 16 Grand Rapids MN 55744-2684 | |
(218) 326-3390 | |
Not Available |
Full Name | Catherine A. Mcdonald |
---|---|
Speciality | Social Worker - Clinical |
Location | 412 N Pokegama Ave Ste 16, Grand Rapids, Minnesota |
Authorized Official Name and Position | Catherine A Mcdonald (OWNER) |
Authorized Official Contact | 2183263390 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Catherine A. Mcdonald 412 N Pokegama Ave Ste 16 Grand Rapids MN 55744-2684 Ph: () - | Catherine A. Mcdonald 412 N Pokegama Ave Ste 16 Grand Rapids MN 55744-2684 Ph: (218) 326-3390 |
NPI Number | 1699859199 |
---|---|
Provider Enumeration Date | 10/24/2006 |
Last Update Date | 06/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699859199 | NPI | - | NPPES |
132327000 | Medicaid | MN | |
6265929 | Other | MN | MEDICA ID |
179M6MC | Other | MN | BCBS GROUP |
488857 | Other | MN | VALUE OPTIONS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7789 (Minnesota) | Primary |
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