Paul Jonathan Dirkse
NPI #1205395613 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1205395613
- Entity Type
- Individual
- Name
- Paul Jonathan Dirkse
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 15, 2019
- Last Updated
- Mar 15, 2019
Practice Location
- Address
- 14949 62ND ST N
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6132
- Phone
- (651) 275-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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