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Organization

CENTER FOR MENTAL HEALTH AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA ANN WILKE PSYD (OWNER)
(763) 691-9032
Entity
Organization

Contact information

Practice address
11855 ULYSSES ST NE STE 40, BLAINE, MN 55434-3947
(763) 691-9032
Mailing address
11855 ULYSSES ST NE STE 40, BLAINE, MN 55434-3947

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/05/2018
Last updated
01/05/2018
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