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Organization
OLD GROWTH HEALING LLC
Active
Organization
OLD GROWTH HEALING LLC
Active
Other names
Old Growth Healing
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE JACOBI (OWNER/PSYCHOTHERAPIST)
(952) 457-3469
Entity
Organization
Contact information
Practice address
220 DIVISION ST S STE 2, NORTHFIELD, MN 55057-2046
(952) 457-3469
Mailing address
220 DIVISION ST S, NORTHFIELD, MN 55057-2046
(952) 457-3469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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