Organization
MERGING RIVERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BLAKE SULLIVAN LCSW, LICSW, LIMHP (OWNER)
(952) 900-2749
Entity
Organization
Contact information
Practice address
4905 31ST AVE S, MINNEAPOLIS, MN 55417-1403
(952) 900-2749
(952) 333-7493
Mailing address
4905 31ST AVE S, MINNEAPOLIS, MN 55417-1403
(952) 900-2749
(952) 333-7493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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