| NPI | 1295264398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M HANSON Office Manager 218-326-9781 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 10490) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |