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Organization

LOS ROQUES

Active
Other names
Un Pueblito Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CARLA MALDONADO LMFT (OWNER)
(612) 306-9636
Entity
Organization

Contact information

Practice address
2424 18TH AVE S, MINNEAPOLIS, MN 55404-4006
(612) 306-9636
Mailing address
2424 18TH AVE S, MINNEAPOLIS, MN 55404-4006
(612) 306-9636

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2518
MN

Other

Enumeration date
07/02/2015
Last updated
07/02/2015
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