| NPI | 1831560424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MARGARET HANSEN Mental Health Therapist/ Clinician 218-556-3209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 3964) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |