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Organization

OTTER TAIL HEALTH CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIBIN HASSAN HASHI (MENTAL HEALTH PRACTITIONER)
(612) 876-1144
Entity
Organization

Contact information

Practice address
441 OLD HIGHWAY 8 NW STE 213, NEW BRIGHTON, MN 55112-3235
(612) 876-1144
(702) 975-5307
Mailing address
808 BERRY ST APT 150, SAINT PAUL, MN 55114-1390
(612) 876-1144
(702) 975-5307

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
08/18/2021
Last updated
08/18/2021
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