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Organization

NICOLE J MUNGER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE MUNGER LICSW (SOLE PROPRIETOR)
(651) 455-0561
Entity
Organization

Contact information

Practice address
2925 BUCKLEY WAY, INVER GROVE HEIGHTS, MN 55076-2018
(651) 455-0561
Mailing address
2925 BUCKLEY WAY, INVER GROVE HEIGHTS, MN 55076-2018
(651) 455-0561

Taxonomy

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

Other

Enumeration date
02/16/2015
Last updated
02/16/2015
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