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Organization
MINNESOTA GIRLS ACADEMY
Active
Organization
MINNESOTA GIRLS ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SUE BORRIS (STAFF)
(507) 525-1523
Entity
Organization
Contact information
Practice address
PO BOX 74, BRICELYN, MN 56014-0074
(507) 525-1523
Mailing address
PO BOX 74, BRICELYN, MN 56014-0074
(507) 525-1523
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
1081456-2-CRF
MN
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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