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Organization

ANXIETY & DEPRESSION CLINIC OF THE TWIN CITIES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE E ERICKSON (OFFICE ADMINISTRATOR)
(952) 404-9124
Entity
Organization

Contact information

Practice address
18300 MTKA BLVD., STE 210, DEEPHAVEN, MN 55391-3272
(952) 404-9124
(952) 404-9273
Mailing address
18300 MTKA BLVD., STE 210, DEEPHAVEN, MN 55391-3272
(952) 404-9124
(952) 404-9273

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13015
MN
2084P0800X
Psychiatry Physician
829
MN

Other

Enumeration date
12/13/2006
Last updated
09/11/2025
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