Organization
STEPPING STONE CLINIC, LLC
Active
Organization
STEPPING STONE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHELLE HANSEN PHD, LP (CLINICAL DIRECTOR)
(701) 741-7830
Entity
Organization
Contact information
Practice address
6625 LYNDALE AVE S, SUITE 500, RICHFIELD, MN 55423-2373
(612) 886-3704
(612) 886-3681
Mailing address
5637 COLFAX AVE S, MINNEAPOLIS, MN 55419-1747
(701) 741-7830
(612) 886-3681
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
CORP00418
MN
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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