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Organization
MIDWAY COUNSELING, LLC
Active
Organization
MIDWAY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY R. TUCKER MA, LPCC (OWNER)
(612) 656-9394
Entity
Organization
Contact information
Practice address
6550 YORK AVE S, SUITE 410, EDINA, MN 55435-2347
(612) 656-9394
Mailing address
3441 35TH AVE S, MINNEAPOLIS, MN 55406-2740
(612) 656-9394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00925
MN
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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