Organization
CORNERHOUSE INTERAGENCY CHILD ABUSE EVALUATION CENTER
Active
Organization
CORNERHOUSE INTERAGENCY CHILD ABUSE EVALUATION CENTER
Active
Other names
CornerHouse
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA K LEWIS-DMELLO MSW, LICSW (FAMILY SERVICES DIRECTOR)
(612) 813-8312
Entity
Organization
Contact information
Practice address
2502 10TH AVE S, MINNEAPOLIS, MN 55404-4510
(612) 813-8300
(612) 813-8330
Mailing address
2502 10TH AVE S, MINNEAPOLIS, MN 55404-4510
(612) 813-8300
(612) 813-8330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20463
MN
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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