Organization
LOUD BODY SOUND MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA CAROLINE DUNCAN LICSW (PSYCHOTHERAPIST/BUSINESS OWNER)
(651) 428-2058
Entity
Organization
Contact information
Practice address
1025 SELBY AVE STE 101, SAINT PAUL, MN 55104-6533
(651) 428-2058
Mailing address
1025 SELBY AVE STE 101, SAINT PAUL, MN 55104-6533
(651) 428-2058
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
17540
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
17540
MN
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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