Organization
PROJECT FRESH START INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELS ROBIN ZELLER (EXECUTIVE DIRECTOR)
(651) 399-3307
Entity
Organization
Contact information
Practice address
2854 COLUMBUS AVE, MINNEAPOLIS, MN 55407-1324
(612) 354-7904
Mailing address
PO BOX 7367, MINNEAPOLIS, MN 55407-0367
(651) 399-3307
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4593
MN
104100000X
Social Worker
23792
MN
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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