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Organization

HYPERINTELLIGENT STOAT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEONG EUN PARK LMFT (OWNER)
(612) 314-9542
Entity
Organization

Contact information

Practice address
711 W LAKE ST STE 201, MINNEAPOLIS, MN 55408-3357
(612) 314-9542
Mailing address
4528 MADISON ST NE, COLUMBIA HEIGHTS, MN 55421-2363

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
02/17/2025
Last updated
02/17/2025
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