Mrs Laura Holton Dabruzzi, LICSW | |
659 Bielenberg Dr, Woodbury, MN 55125-1706 | |
(651) 259-9700 | |
(651) 259-9780 |
Full Name | Mrs Laura Holton Dabruzzi |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 659 Bielenberg Dr, Woodbury, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073969390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 19131 (Minnesota) | Primary |
Entity Name | St Croix Psychiatric Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166 |
Mailing Address | Practice Location Address |
---|---|
Mrs Laura Holton Dabruzzi, LICSW 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 Ph: (763) 762-8800 | Mrs Laura Holton Dabruzzi, LICSW 659 Bielenberg Dr, Woodbury, MN 55125-1706 Ph: (651) 259-9700 |
Alissa Leigh Madden, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1811 Weir Dr, Suite 355, Woodbury, MN 55125 Phone: 651-730-6151 | |
Colleen M Halley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7650 Currell Blvd, Suite 130, Woodbury, MN 55125 Phone: 651-714-8007 | |
Willie Jean Love-winter, MSSW, LICSW, LMFT Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6136 Kalen Ct, Woodbury, MN 55129 Phone: 651-459-0443 Fax: 651-459-4510 | |
Shari Marik-roach, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7200 Glenross Rd, Woodbury, MN 55125 Phone: 651-399-0979 | |
Ashley Ashbacher, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2040 Woodwinds Drive, Woodbury, MN 55125 Phone: 651-259-9711 | |
Nicole Ann Tundel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 Commerce Dr, Woodbury, MN 55125 Phone: 612-424-4000 |