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Organization
WISE BODY WISE MIND, LLC
Active
Organization
WISE BODY WISE MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ROSENER MS, LMFT (MARRIAGE & FAMILY THERAPIST)
(612) 707-1504
Entity
Organization
Contact information
Practice address
38868 12TH AVE # 1032, NORTH BRANCH, MN 55056-6658
(612) 707-1504
Mailing address
491 ARLINGTON AVE W, SAINT PAUL, MN 55117-3501
(612) 707-1504
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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