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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