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Organization
TWIN CITIES BEHAVIORAL HEALTH, PC
Active
Organization
TWIN CITIES BEHAVIORAL HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH I SHAGALOW PSYD LP (OWNER/OFFICER)
(952) 831-3662
Entity
Organization
Contact information
Practice address
7300 METRO BLVD, SUITE 635, EDINA, MN 55439-2303
(952) 831-3662
(952) 831-3559
Mailing address
7300 METRO BLVD, SUITE 635, EDINA, MN 55439-2303
(952) 831-3662
(952) 831-3559
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LP4413
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164520284
—
MN
Enumeration date
04/28/2009
Last updated
04/28/2009
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