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Organization

MOSAIC FAMILY SERVICES, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEREMY ROBISON FAUS LMFT (DIRECTOR)
(952) 217-6419
Entity
Organization

Contact information

Practice address
1405 EAST MAIN STREET, NEW PRAGUE, MN 56071
(952) 217-6419
(952) 758-9022
Mailing address
1405 EAST MAIN STREET, NEW PRAGUE, MN 56071
(952) 217-6419
(952) 758-9022

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
07/05/2019
Last updated
07/05/2019
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