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Organization
VISCERALIZATIONS PLLC
Active
Organization
VISCERALIZATIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB SCHUCHMAN FALK LICSW (OWNER, CHIEF MANAGER)
(612) 940-2136
Entity
Organization
Contact information
Practice address
7400 METRO BLVD STE 211, EDINA, MN 55439-2321
(612) 940-2136
Mailing address
7400 METRO BLVD STE 211, EDINA, MN 55439-2321
(612) 940-2136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750845244
—
MN
Enumeration date
12/21/2023
Last updated
06/17/2024
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