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Organization
STILLWATER PSYCHOLOGICAL ASSOCIATES PA
Active
Organization
STILLWATER PSYCHOLOGICAL ASSOCIATES PA
Active
Parent organization
PARTNERS IN RECOVERY, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARTNERS IN RECOVERY, LLC.
Authorized official
CHRISTOPHER MCCALLA (OWNER)
(651) 356-4436
Entity
Organization
Contact information
Practice address
1611 COUNTY ROAD B W STE 102, ROSEVILLE, MN 55113-4053
(651) 356-4436
(651) 348-8349
Mailing address
1611 COUNTY ROAD B W STE 102, ROSEVILLE, MN 55113-4053
(651) 356-4436
(651) 348-8349
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12610
MN
Other
Enumeration date
09/30/2015
Last updated
10/07/2015
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