Organization
FAMILY ADVOCACY CENTER OF NORTHERN MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L ELLEFSON NP (DIRECTOR)
(218) 333-6011
Entity
Organization
Contact information
Practice address
4211 MINNKOTA AVE NW, BEMIDJI, MN 56601-6078
(218) 444-6127
(218) 444-6129
Mailing address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-6011
(218) 333-6113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R1031751
MN
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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