| Coleen Groen, Llc | |
|
14606 97th St N Stillwater MN 55082-9256 | |
| (612) 274-6266 | |
| Not Available |
| Full Name | Coleen Groen, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14606 97th St N, Stillwater, Minnesota |
| Authorized Official Name and Position | Coleen Maclean Groen (PSYCHOTHERAPIST) |
| Authorized Official Contact | 6122746266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleen Groen, Llc 14606 97th St N Stillwater MN 55082-9256 Ph: (612) 274-6266 | Coleen Groen, Llc 14606 97th St N Stillwater MN 55082-9256 Ph: (612) 274-6266 |
| NPI Number | 1295438315 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295438315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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