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Organization

CENTERED PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE H MENK LICSW (OWNER/THERAPIST)
(507) 649-7294
Entity
Organization

Contact information

Practice address
401 DIVISION ST S, SUITE C, NORTHFIELD, MN 55057-2095
(507) 649-7294
Mailing address
401 DIVISION ST S, SUITE C, NORTHFIELD, MN 55057-2095
(507) 649-7294

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14866
MN

Other

Enumeration date
04/06/2011
Last updated
04/06/2011
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