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Organization

EFFECTIVE LIVING CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN STEDHAM PSYD, LP (LICENSED PSYCHOLOGIST/PRESIDENT)
(320) 259-5381
Entity
Organization

Contact information

Practice address
821 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3515
(320) 259-5381
(320) 259-6171
Mailing address
821 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3515
(320) 259-5381
(320) 259-6171

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP5034
MN

Other

Enumeration date
05/27/2010
Last updated
05/27/2010
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