Provider Information for 1194551432
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MATTHEW FRANK MSW, LICSW
Sex: Male
NPI: 1194551432
Last Updated: 2024-10-03
Certification Date: 2024-10-03
Certification Date: 2024-10-03
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194551432 | ||||||||
| Enumeration Date | 2024-09-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1100 GLENWOOD AVE MINNEAPOLIS, MN 55405-1430 United States Phone: 612-871-1454 | Fax:612-871-1505 | ||||||||
| Primary Practice Address | 1100 GLENWOOD AVE MINNEAPOLIS, MN 55405-1430 United States Phone: 612-871-1454 | Fax:612-871-1505 | ||||||||
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