NPI | 1265802920 |
---|---|
Entity Type | Organization |
Authorized Contact | JOELLE BANGSUND Owner/Therapist 612-702-1661 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6636) |
Enumeration Date | 2015-10-06 |
Last Update Date | 2015-10-06 |