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1093575581
MAVERICK MENTAL HEALTH LLC
PLYMOUTH, MN
NPI
1093575581
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Entity Type
Organization
Authorized Contact
MAKTAL ABDIFATAH MOHAMED
Owner
612-310-2537
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2024-03-20
Last Update Date
2024-03-20
Business Address
MAVERICK MENTAL HEALTH LLC
9900 13TH AVE N STE 210
PLYMOUTH, MN 55441-5068
Phone number: 612-310-2537
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Mailing Address
MAVERICK MENTAL HEALTH LLC
9900 13TH AVE N STE 210
PLYMOUTH, MN 55441-5068
Phone number:
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