| NPI | 1992685259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DUCKSON Licensed Clinical Social Worker 952-693-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |