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Organization
MARIGOLD PROFESSIONAL SERVICE CORPORATION
Active
Organization
MARIGOLD PROFESSIONAL SERVICE CORPORATION
Active
Other names
Marigold Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON L NEEDHAM LMFT (OWNER/CEO)
(612) 703-3743
Entity
Organization
Contact information
Practice address
3513 TYLER ST NE, MINNEAPOLIS, MN 55418-1330
(612) 703-3743
Mailing address
3513 TYLER ST NE, MINNEAPOLIS, MN 55418-1330
(612) 703-3743
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
10/03/2022
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