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Organization
CENTER FOR WOMEN'S GROUP THERAPY
Active
Organization
CENTER FOR WOMEN'S GROUP THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILISE KATZ LPCC (GEN PTR)
(612) 701-0066
Entity
Organization
Contact information
Practice address
11900 WAYZATA BLVD, STE 200, MINNETONKA, MN 55305-2031
(612) 701-0066
(952) 546-1308
Mailing address
3754 PLEASANT AVE, STE 205, MINNEAPOLIS, MN 55409-1279
(612) 802-1405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC0021
MN
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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