| Catholic Charities Of The Archdiocese Of St Paul And Mpls | |
|
1121 E 46th St Minneapolis MN 55407-3562 | |
| (612) 204-8217 | |
| Not Available |
| Full Name | Catholic Charities Of The Archdiocese Of St Paul And Mpls |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1121 E 46th St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Yolanda O'reilly (BILLING MGR) |
| Authorized Official Contact | 6122048387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Of The Archdiocese Of St Paul And Mpls 1200 2nd Ave S Minneapolis MN 55403-2513 Ph: () - | Catholic Charities Of The Archdiocese Of St Paul And Mpls 1121 E 46th St Minneapolis MN 55407-3562 Ph: (612) 204-8217 |
| NPI Number | 1235240474 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235240474 | NPI | - | NPPES |
| 592218600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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