DIANE DOCKENDORF OPATZ

SAINT CLOUD, MN
NPI1306960315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  1902)
Enumeration Date2007-03-16
Last Update Date2012-05-09
Business Address
-- DIANE DOCKENDORF OPATZ LICSW
3333 W DIVISION ST
SAINT CLOUD, MN 56301-4515
Phone number: 320-309-8789
Mailing Address
-- DIANE DOCKENDORF OPATZ LICSW
823 ALDON DR
SAINT CLOUD, MN 56301-5957
Phone number: