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Organization
NOLAN'S PLACE LLC
Active
Organization
NOLAN'S PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLIE GRAVES (OWNER)
(507) 401-1467
Entity
Organization
Contact information
Practice address
515 19TH AVE SW, WILLMAR, MN 56201-5274
(320) 403-5247
(320) 403-5249
Mailing address
515 19TH AVE SW, WILLMAR, MN 56201-5274
(320) 403-5247
(320) 403-5249
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
08/25/2021
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