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Organization
POPLAR GROVE COUNSELING, PLLP
Active
Organization
POPLAR GROVE COUNSELING, PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA DAWN KAASA LICSW (THERAPIST, MANAGING PARTNER)
(612) 578-5181
Entity
Organization
Contact information
Practice address
3011 36TH AVE S, SUITE 9, MINNEAPOLIS, MN 55406-2796
(612) 578-5181
Mailing address
3011 36TH AVE S, SUITE 9, MINNEAPOLIS, MN 55406-2796
(651) 335-3799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
16268
MN
1041C0700X
Clinical Social Worker
17710
MN
1041C0700X
Clinical Social Worker
20307
MN
1041C0700X
Clinical Social Worker
Primary
22716
MN
Other
Enumeration date
10/18/2015
Last updated
02/18/2016
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