Organization
CAREMMAX
Active
Other names
CAREMAX LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FARHIYO IDIFLE LICSW (SOCIAL WORKER)
(320) 224-2234
Entity
Organization
Contact information
Practice address
2615 42ND AVE S, SAINT CLOUD, MN 56301-5490
(320) 224-2234
Mailing address
2615 42ND AVE S, SAINT CLOUD, MN 56301-5490
(320) 224-2234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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