Organization
TUBMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS L SCOTT LADC (CHEMICAL HEALTH COUNSELOR)
(612) 870-2447
Entity
Organization
Contact information
Practice address
4432 CHICAGO AVE, MINNEAPOLIS, MN 55407-3519
(612) 870-2447
(612) 870-2428
Mailing address
4432 CHICAGO AVE, MINNEAPOLIS, MN 55407-3519
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
302879
MN
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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