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Organization
QUEST SEXUALITY SPECIFIC SERVICES
Active
Organization
QUEST SEXUALITY SPECIFIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PORTZEN (ADMINISTRATIVE DIRECTOR)
(651) 266-5206
Entity
Organization
Contact information
Practice address
25 7TH ST W, SAINT PAUL, MN 55102-1103
(651) 266-5208
Mailing address
25 7TH ST W, SAINT PAUL, MN 55102-1103
(651) 266-5208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16439
MN
Other
Enumeration date
11/07/2009
Last updated
11/07/2009
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