| NPI | 1982878070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHELLE AILENE MURRAY Office Manager 218-722-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 19056) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 19776) |
| 1041C0700X Social Worker, Clinical (Licence: WI 6702123) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2014-01-03 |