Organization
AWAKENED CONNECTIONS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER KENT LICSW (LICENSED INDEPENDENT SOCIAL WORKER)
(218) 831-3072
Entity
Organization
Contact information
Practice address
12460 160TH ST, MILACA, MN 56353-3319
(218) 831-3072
Mailing address
12460 160TH ST, MILACA, MN 56353-3319
(218) 831-3072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/25/2025
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