Organization
FRESH OUTLOOK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURA FRESHOUR LICSW (OWNER)
(404) 277-4774
Entity
Organization
Contact information
Practice address
657 MAIN ST NW STE 104, ELK RIVER, MN 55330-1578
(612) 439-3084
Mailing address
657 MAIN ST NW STE 104, ELK RIVER, MN 55330-1578
(612) 439-3084
(612) 500-4796
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
06/03/2024
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