Organization
NYSTROM & ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARZACK BALASCO MCALLISTER LADC (COUNSELOR)
(651) 628-9566
Entity
Organization
Contact information
Practice address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
301604
MN
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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