Organization
LAKE EFFECT PSYCHOTHERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LOUISE GARBERG LICSW (SOLE MEMBER)
(218) 228-0035
Entity
Organization
Contact information
Practice address
205 W 2ND ST STE 300, DULUTH, MN 55802-1920
(218) 228-0035
(218) 304-7862
Mailing address
205 W 2ND ST STE 300, DULUTH, MN 55802-1920
(218) 228-0035
(218) 304-7862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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