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Organization

ELITE PROFESSIONAL SERVICES, LLC

Active
Other names
Elite Professional Services, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MARNIE TUENGE MSW, LICSW (OWNER)
(651) 207-3887
Entity
Organization

Contact information

Practice address
10374 GRAND FOREST LN, WOODBURY, MN 55129
(651) 207-3887
Mailing address
7595 CURRELL BLVD, PO BOX 25641, WOODBURY, MN 55125
(651) 207-3887

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801325402
MN
Enumeration date
04/06/2022
Last updated
04/06/2022
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