| NPI | 1730535683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANT THOMSEN Clinical Social Worker 612-925-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 14948) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |