Organization
INTERPRETIVE LEADERSHIP INC
Active
Other names
ILI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY THERESA SWENSON EDD (PRESIDENT)
(858) 531-0710
Entity
Organization
Contact information
Practice address
2847 180TH AVE NE, HAM LAKE, MN 55304-2664
(763) 413-6971
Mailing address
13750 CROSSTOWN DR NW, #207, ANDOVER, MN 55304-5853
(858) 531-0710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00808
MN
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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