Therapeutic And Behavioral Health Services | |
5270 Miller Trunk Hwy Hermantown MN 55811-1202 | |
(218) 727-7450 | |
(218) 727-7452 |
Full Name | Therapeutic And Behavioral Health Services |
---|---|
Speciality | Social Worker - Clinical |
Location | 5270 Miller Trunk Hwy, Hermantown, Minnesota |
Authorized Official Name and Position | Curtis Charles Davis (OWNER) |
Authorized Official Contact | 2187277450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Therapeutic And Behavioral Health Services 5270 Miller Trunk Hwy Hermantown MN 55811-1202 Ph: (218) 727-7450 | Therapeutic And Behavioral Health Services 5270 Miller Trunk Hwy Hermantown MN 55811-1202 Ph: (218) 727-7450 |
NPI Number | 1033496674 |
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Provider Enumeration Date | 11/10/2011 |
Last Update Date | 11/10/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033496674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 16370 (Minnesota) | Primary |
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