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Organization
REVEALING LIFE HOLISTIC SERVICES, LLC
Active
Organization
REVEALING LIFE HOLISTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAREN LESLIE MITTAL MSW (FOUNDER)
(507) 363-9365
Entity
Organization
Contact information
Practice address
1935 COUNTY ROAD B2 W STE 245, ROSEVILLE, MN 55113-2722
(507) 363-9365
Mailing address
1675 VILLAGE TRL E UNIT 6, MAPLEWOOD, MN 55109-5820
(507) 363-9365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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