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Organization
RESTORATIVE PATH COUNSELING AND WELLBEING
Active
Organization
RESTORATIVE PATH COUNSELING AND WELLBEING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ATHENA MARIE DIESCH-CHHAM MSW, LICSW (CLINICAL SOCIAL WORKER)
(507) 676-1633
Entity
Organization
Contact information
Practice address
22426 CANTREL WAY, FARMINGTON, MN 55024-4011
(507) 676-1633
Mailing address
22426 CANTREL WAY, FARMINGTON, MN 55024-4011
(507) 676-1633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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