NPI | 1013566181 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL JOHN DIMICK Psychologist 507-645-6575 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
Enumeration Date | 2019-09-10 |
Last Update Date | 2019-09-10 |