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Organization

SUE HALL'S PLACE TO GROW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN RUTH HALL MSED., L.P. (OWNER LICENSED PSYCHOLOGIST)
(218) 464-4688
Entity
Organization

Contact information

Practice address
6015 E SUPERIOR ST, DULUTH, MN 55804-2538
(218) 464-4688
(218) 464-4449
Mailing address
6015 E SUPERIOR ST, DULUTH, MN 55804-2538
(218) 464-4688
(218) 464-4449

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP3509
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417009804
NPI
MN
05
729724600
MN
Enumeration date
04/24/2014
Last updated
04/24/2014
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