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Organization
RESILIENT LIVING LLC
Active
Organization
RESILIENT LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA ANN REUVERS MSW, LICSW (OWNER)
(507) 838-1297
Entity
Organization
Contact information
Practice address
21378 ELMORE AVE, FARIBAULT, MN 55021-7883
(507) 838-1297
Mailing address
21378 ELMORE AVE, FARIBAULT, MN 55021-7883
(507) 838-1297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22678
MN
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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