| Sprout Midwest Wellness Pllc | |
|
221 Studdart Ave Graceville MN 56240-0128 | |
| (320) 200-0552 | |
| (320) 287-7001 |
| Full Name | Sprout Midwest Wellness Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 221 Studdart Ave, Graceville, Minnesota |
| Authorized Official Name and Position | Molly Westerman (OWNER) |
| Authorized Official Contact | 3202000552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Midwest Wellness Pllc Po Box 128 Graceville MN 56240-0128 Ph: (320) 200-0552 | Sprout Midwest Wellness Pllc 221 Studdart Ave Graceville MN 56240-0128 Ph: (320) 200-0552 |
| NPI Number | 1518733534 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 11/30/2023 |
| Certification Date | 11/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518733534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |