Organization
VEEMAH INTEGRATED WELLNESS & CONSULTING SERVICES, LLC
Active
Other names
VEEMAH Integrated Wellness & Consulting Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN KORPO BALLAH-SWARAY PSYD, LP (PSYCHOLOGIST)
(763) 228-8086
Entity
Organization
Contact information
Practice address
11112 HILLSBORO AVE N, CHAMPLIN, MN 55316-3128
(763) 228-8086
Mailing address
11112 HILLSBORO AVE N, CHAMPLIN, MN 55316-3128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6152
MN
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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