Carin Osvog, Llc | |
700 Commerce Dr Ste 295 Woodbury MN 55125-9245 | |
(651) 571-2865 | |
Not Available |
Full Name | Carin Osvog, Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 700 Commerce Dr Ste 295, Woodbury, Minnesota |
Authorized Official Name and Position | Carin Osvog (OWNER/FOUNDER) |
Authorized Official Contact | 6129104773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carin Osvog, Llc 7165 Stratford Rd Woodbury MN 55125-2712 Ph: (612) 910-4773 | Carin Osvog, Llc 700 Commerce Dr Ste 295 Woodbury MN 55125-9245 Ph: (651) 571-2865 |
NPI Number | 1578192621 |
---|---|
Provider Enumeration Date | 04/01/2020 |
Last Update Date | 04/01/2020 |
Certification Date | 04/01/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578192621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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