Organization
DUFFEY BLACK COUNSELING AND CARE MANAGMENT OF WAYZATA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY DUFFEY BLACK MS, LICSW, CEAP (CLINICAL DIRECTOR)
(952) 470-6182
Entity
Organization
Contact information
Practice address
2000 BLACKBERRY LN, WAYZATA, MN 55391-2006
(952) 470-6182
Mailing address
2000 BLACKBERRY LN, WAYZATA, MN 55391-2006
(952) 470-6182
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6510
MN
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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