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Organization
TERRA SORG LLC
Active
Organization
TERRA SORG LLC
Active
Other names
Terra Sorg Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
TERRA SORG MSW, LICSW (OWNER)
(612) 205-2668
Entity
Organization
Contact information
Practice address
821 RAYMOND AVE STE 300, SAINT PAUL, MN 55114-1525
(612) 205-2668
Mailing address
4467 161ST LN NE, HAM LAKE, MN 55304-5908
(612) 205-2668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
03/03/2024
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