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Organization
CENTER FOR MENTAL HEALTH AND WELLNESS, LLC
Active
Organization
CENTER FOR MENTAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN WILKE PSYD (OWNER)
(763) 691-9032
Entity
Organization
Contact information
Practice address
11855 ULYSSES ST NE STE 40, BLAINE, MN 55434-3947
(763) 691-9032
Mailing address
11855 ULYSSES ST NE STE 40, BLAINE, MN 55434-3947
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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