Organization
A CHANCE TO GROW, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA JEAN DICKERSON MA, CCC/SLP (DIRECTOR OF CLINICAL & HOME BASED)
(612) 789-1236
Entity
Organization
Contact information
Practice address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 789-1236
(612) 706-5555
Mailing address
1800 2ND ST NE, MINNEAPOLIS, MN 55418-4306
(612) 789-1236
(612) 706-5555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2605
MN
152WV0400X
Vision Therapy Optometrist
2605
MN
251E00000X
Home Health Agency
Primary
HFID-02476 A
MN
Other
Enumeration date
09/28/2006
Last updated
08/26/2009
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