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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAUL JONATHAN DIRKSE

Active

PAUL JONATHAN DIRKSE is a Clinical Social Worker healthcare provider located in STILLWATER, Minnesota. NPI 1205395613 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · STILLWATER, MN

Registration Details

NPI Number
1205395613
Provider Type
Individual
Gender
Male
NPI Issued
Mar 15, 2019 (7.39606211383 yrs)
Last Updated
Mar 15, 2019
License
23459 (MN)

Practice Information

Address
14949 62ND ST N
STILLWATER, MN, 550826132
Browse MN providers · Browse ZIP 55082
Phone
6512757400
Fax
6512757401
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in STILLWATER, MN

Name Credential NPI
MS. HEIDI MAE PRESSLEIN MSW, LICSW 1184621039
JODY KAY DUNLAP LICSW 1073593612
SHARON A ENGDAHL MSW LICSW 1457324030
GLORIA M GUINEE MSW LICSW 1558337923
SARAH GLENDENNING SALDIN LICSW 1205049426
LINDITH M FORTIN-CASE MSSW 1760686703
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.