Organization
CLOQUET PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE NELSON PSYDLP (LICENSED PSYCHOLOGIST)
(218) 940-5259
Entity
Organization
Contact information
Practice address
605 KALLSTROM RD, CLOQUET, MN 55720-9415
(218) 940-5259
Mailing address
605 KALLSTROM RD, CLOQUET, MN 55720-9415
(218) 940-5259
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP4209
MN
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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