Organization
MILLE LACS BAND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MARIE LEBLANC (INTAKE, REFERRAL, AND OFFICE COORD.)
(320) 532-7764
Entity
Organization
Contact information
Practice address
17230 NOOPIMING DR, ONAMIA, MN 56359-4522
(320) 532-7764
(320) 532-7803
Mailing address
17230 NOOPIMING DR, ONAMIA, MN 56359-4522
(320) 532-7764
(320) 532-7803
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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