Organization
INTROSPECTIVE PSYCHOTHERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHARGAVI S GHATE LICSW (OWNER/ PSYCHOTHERAPIST)
(612) 396-6737
Entity
Organization
Contact information
Practice address
5407 EXCELSIOR BLVD, SUITE A, ST LOUIS PARK, MN 55416-2929
(612) 396-6737
Mailing address
5407 EXCELSIOR BOULEVARD, SUITE A, ST. LOUIS PARK, MN 55416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13697
MN
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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