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Organization
STRENGTHEN SOCIAL SKILLS
Active
Organization
STRENGTHEN SOCIAL SKILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN BLACKMAN MA, LICSW (PEERS INSTRUCTOR)
(952) 393-9884
Entity
Organization
Contact information
Practice address
20 NORTHDALE BLVD NW, COON RAPIDS, MN 55448-3356
(952) 393-9884
Mailing address
313 MADISON AVE S, HOPKINS, MN 55343-8446
(952) 393-9884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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