Organization
SOLIANT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY PATRICIA TILDEN EDS (SCHOOL PSYCHOLOGIST)
(320) 629-1179
Entity
Organization
Contact information
Practice address
17586 CEDAR CREEK RD, PINE CITY, MN 55063-4905
(320) 629-1170
Mailing address
17586 CEDAR CREEK RD, PINE CITY, MN 55063-4905
(320) 629-1170
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
323119
MN
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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