Center For Dbt L.l.c. | |
923 Broadway Ave N Suite 104 Rochester MN 55906-6843 | |
(507) 208-4774 | |
(507) 208-4774 |
Full Name | Center For Dbt L.l.c. |
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Speciality | Social Worker - Clinical |
Location | 923 Broadway Ave N, Rochester, Minnesota |
Authorized Official Name and Position | Maria Catherine Bolin (OWNER) |
Authorized Official Contact | 5072084774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Center For Dbt L.l.c. 923 Broadway Ave N Suite 104 Rochester MN 55906-6843 Ph: (507) 208-4774 | Center For Dbt L.l.c. 923 Broadway Ave N Suite 104 Rochester MN 55906-6843 Ph: (507) 208-4774 |
NPI Number | 1336496207 |
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Provider Enumeration Date | 08/10/2012 |
Last Update Date | 08/10/2012 |
Identifier | Type | State | Issuer |
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1336496207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 18844 (Minnesota) | Primary |
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