Organization
CLEARWATER COUNTY DEPARTMENT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALOTTE BACKER (DIRECTOR)
(218) 694-6164
Entity
Organization
Contact information
Practice address
216 PARK AVE NW, BAGLEY, MN 56621-9500
(218) 694-6164
Mailing address
216 PARK AVE NW, BAGLEY, MN 56621-9500
(218) 694-6164
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
A000015900
MN
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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