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Organization
COMMUNITY DIAGNOSTICS AND CONSULTATION, INC
Active
Organization
COMMUNITY DIAGNOSTICS AND CONSULTATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA MARIE CARR MA, RN, CNS (PRESIDENT)
(218) 591-7057
Entity
Organization
Contact information
Practice address
5642 HALIE RD, DULUTH, MN 55810-2166
(218) 591-7057
Mailing address
5642 HALIE RD, DULUTH, MN 55810-2166
(218) 591-7057
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R110631-4
MN
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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