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Organization
MOONFLOWER LLC
Active
Organization
MOONFLOWER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALLORI ANN SHEIK DSW, LICSW (DR. DSW LICSW OWNER/OPERATOR)
(218) 820-1023
Entity
Organization
Contact information
Practice address
5445 CITY HALL ST, NISSWA, MN 56468-2478
(218) 820-1023
Mailing address
7601 CHANNEL LN, PILLAGER, MN 56473-8001
(218) 820-1023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
08/22/2025
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