Organization
FOUR WINDS CENTER FOR WELLNESS INC
Active
Organization
FOUR WINDS CENTER FOR WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN LOUIS CIROCCO MSW LICSW (COOWNER OPERATOR)
(218) 444-2055
Entity
Organization
Contact information
Practice address
28141 LAKELAWN DRIVE, LINDSTROM, MN 55045
(651) 257-9566
Mailing address
28141 LAKELAWN DRIVE, LINDSTROM, MN 55045
(651) 257-9566
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
10/03/2007
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