Organization
LOOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH PILLSBURY MSW (PRESIDENT)
(612) 710-2561
Entity
Organization
Contact information
Practice address
6906 PAIUTE CIR, EDINA, MN 55439-1031
(612) 508-0704
Mailing address
6906 PAIUTE CIR, EDINA, MN 55439-1031
(612) 508-0704
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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