Organization
HOPEALLIANZ INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY L FRIESEN GRANDE PHD (CEO)
(763) 546-6624
Entity
Organization
Contact information
Practice address
4205 LANCASTER LN N, SUITE 111, PLYMOUTH, MN 55441-1700
(763) 546-6624
(763) 332-5006
Mailing address
4205 LANCASTER LN N, SUITE 111, PLYMOUTH, MN 55441-1700
(763) 546-6624
(763) 332-5006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10662
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475522700
—
MN
Enumeration date
07/09/2005
Last updated
10/24/2013
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