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Organization

POLK COUNTY SOCIAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENT JOHNSON (DIRECTOR)
(218) 470-8405
Entity
Organization

Contact information

Practice address
612 N BROADWAY STE 110, CROOKSTON, MN 56716-1452
(218) 281-3127
Mailing address
612 N BROADWAY STE 110, CROOKSTON, MN 56716-1452

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251K00000X
Public Health or Welfare Agency

Other

Enumeration date
08/25/2009
Last updated
08/25/2009
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