Organization
BOSAK MISCHKE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MISCHKE (PRESIDENT)
(651) 647-0659
Entity
Organization
Contact information
Practice address
821 RAYMOND AVE, #300, SAINT PAUL, MN 55114-1525
(651) 647-0659
(651) 646-1424
Mailing address
821 RAYMOND AVE, #300, SAINT PAUL, MN 55114-1525
(651) 647-0659
(651) 646-1424
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP2396
MN
1041C0700X
Clinical Social Worker
4213
MN
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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