Organization
RADICAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MOUSSEAU MALDONADO LCSW (OWNER)
(218) 996-2144
Entity
Organization
Contact information
Practice address
2524 1ST AVE, HIBBING, MN 55746-2243
(218) 996-2144
Mailing address
2524 1ST AVE, HIBBING, MN 55746-2243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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