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Organization

CENTER FOR PERSONAL & PROFESSIONAL GROWTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA VOLSTAD MS LP (OWNER)
(507) 252-5700
Entity
Organization

Contact information

Practice address
400 S BROADWAY, STE 16, ROCHESTER, MN 55904
(507) 252-5700
(507) 252-8115
Mailing address
400 S BROADWAY, STE 16, ROCHESTER, MN 55904
(507) 252-5700
(507) 252-8115

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3327
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806023100
MN
Enumeration date
09/20/2006
Last updated
06/16/2008
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