Provider Demographics
NPI:1528607124
Name:TONNE, DANA SUE (LICSW)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:SUE
Last Name:TONNE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1066 MOUND DR S
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-7313
Mailing Address - Country:US
Mailing Address - Phone:763-443-1863
Mailing Address - Fax:
Practice Address - Street 1:1875 NORTHWESTERN AVE S
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-7534
Practice Address - Country:US
Practice Address - Phone:651-439-4840
Practice Address - Fax:651-439-4894
Is Sole Proprietor?:No
Enumeration Date:2019-12-30
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN135081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical