Organization
HOPE & HEALING FOR LIFE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN WOLF LICSW (OWNER)
(612) 802-9398
Entity
Organization
Contact information
Practice address
1684 SELBY AVE, SAINT PAUL, MN 55104-6149
(612) 802-9398
Mailing address
11105 ZEBULON PIKE AVE, BURNSVILLE, MN 55337-1151
(612) 802-9398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16965
MN
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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