Provider Demographics
NPI:1114096583
Name:SCHUELER, MARLENE DIANE
Entity Type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:DIANE
Last Name:SCHUELER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43809 CO. RD. 27
Mailing Address - Street 2:
Mailing Address - City:RUSHFORD
Mailing Address - State:MN
Mailing Address - Zip Code:55971-5074
Mailing Address - Country:US
Mailing Address - Phone:507-864-4088
Mailing Address - Fax:
Practice Address - Street 1:43809 CO. RD. 27
Practice Address - Street 2:
Practice Address - City:RUSHFORD
Practice Address - State:MN
Practice Address - Zip Code:55971-5074
Practice Address - Country:US
Practice Address - Phone:507-864-4088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MN17551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical