Organization
SAM PSYCHIATRIC CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN A MANS (OWNER)
(320) 629-3232
Entity
Organization
Contact information
Practice address
253 5TH ST SE, SUITE #2, PINE CITY, MN 55063-1580
(320) 629-3232
Mailing address
253 5TH . STREET SE, SUITE #2, PINE CITY, MN 55063-1545
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
11/14/2016
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