| Complementary Support Services | |
|
6701 Penn Ave S Suite #301 Richfield MN 55423-2093 | |
| (952) 608-8403 | |
| (612) 861-7589 |
| Full Name | Complementary Support Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6701 Penn Ave S, Richfield, Minnesota |
| Authorized Official Name and Position | Teri Dawn Dimond (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9526088403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complementary Support Services 6701 Penn Avenue S. Suite #301 Richfield MN 55423 Ph: (952) 608-8403 | Complementary Support Services 6701 Penn Ave S Suite #301 Richfield MN 55423-2093 Ph: (952) 608-8403 |
| NPI Number | 1023093473 |
|---|---|
| Provider Enumeration Date | 12/08/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023093473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 08879 (Minnesota) | Primary |
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