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Organization
ST. ANTHONY MENTAL HEALTH CLINIC
Active
Organization
ST. ANTHONY MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GEORGE GRAFF LICSW (PRESIDENT)
(651) 634-4082
Entity
Organization
Contact information
Practice address
2233 HAMLINE AVE N, SUITE 402, ROSEVILLE, MN 55113-5009
(651) 634-4082
Mailing address
2233 HAMLINE AVE N, SUITE 402, ROSEVILLE, MN 55113-5009
(651) 634-4082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5415
MN
Other
Enumeration date
02/18/2007
Last updated
08/22/2020
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