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Organization

NORTHERN PINES COMMUNITY MENTAL HEALTH CENTER

Active
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Organization

NORTHERN PINES COMMUNITY MENTAL HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY DARLENE MILLICENT MSW (LICSW)
(320) 828-1092
Entity
Organization

Contact information

Practice address
520 NW 5TH ST, BRAINERD, MN 56401-2902
(218) 829-3235
(218) 829-1368
Mailing address
11 1ST ST SE, PO BOX 32, RICE, MN 56367-8857
(320) 828-1092

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16030
MN

Other

Enumeration date
09/25/2006
Last updated
11/20/2011
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