Organization
LERO GROUP
Active
Other names
The Lero Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLUFUNMILOLA OKANLA LICSW (OWNER)
(612) 245-4257
Entity
Organization
Contact information
Practice address
345 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2091
(612) 245-4257
Mailing address
345 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2091
(612) 245-4257
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/22/2017
Last updated
05/23/2019
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