| NPI | 1104065192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY B THOMAS President 218-655-3347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN MN12849) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |