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Organization

EMPOWERED KIDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON MELAND CCLS (CERTIFIED CHILD LIFE SPECIALIST)
(843) 743-5509
Entity
Organization

Contact information

Practice address
4637 COLFAX AVE S, MINNEAPOLIS, MN 55419-5335
(612) 204-2003
Mailing address
4637 COLFAX AVE S, MINNEAPOLIS, MN 55419-5335

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
09/19/2024
Last updated
09/19/2024
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