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410 Church Street Se Minneapolis MN 55455-0346 | |
| (612) 625-8400 | |
| (612) 625-1434 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 410 Church Street Se, Minneapolis, Minnesota |
| Authorized Official Name and Position | Edward Peter Ehlinger (DIRECTOR) |
| Authorized Official Contact | 6126251612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
410 Church Street Se Minneapolis MN 55455-0346 Ph: (612) 625-8400 | 410 Church Street Se Minneapolis MN 55455-0346 Ph: (612) 625-8400 |
| NPI Number | 1538389887 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538389887 | NPI | - | NPPES |
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