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Organization
MICHELLE WINCELL
Active
Organization
MICHELLE WINCELL
Active
Other names
Spirit of Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE LYN WINCELL LICSW (OWNER/PSYCHOTHERAPIST)
(763) 257-2348
Entity
Organization
Contact information
Practice address
5009 EXCELSIOR BLVD STE 130, ST LOUIS PARK, MN 55416-3049
(763) 257-2348
(612) 722-1983
Mailing address
13024 89TH AVE N, MAPLE GROVE, MN 55369-9513
(763) 257-2348
(612) 722-1983
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12249
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
965524700
—
MN
Enumeration date
07/10/2007
Last updated
08/12/2008
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