Organization
ASSISTANCE IN RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE THIBOUTOT (OFFICE MANAGER)
(651) 255-0380
Entity
Organization
Contact information
Practice address
400 SELBY AVE, SUITE D, SAINT PAUL, MN 55102-4508
(651) 222-6740
(651) 222-6743
Mailing address
400 SELBY AVE, SUITE D, SAINT PAUL, MN 55102-4508
(651) 222-6740
(651) 222-6743
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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