| Giant Steps Center Llc | |
|
2642 University Ave W Ste 115 Saint Paul MN 55114-1032 | |
| (952) 232-6712 | |
| Not Available |
| Full Name | Giant Steps Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2642 University Ave W Ste 115, Saint Paul, Minnesota |
| Authorized Official Name and Position | Hibo Elmi (OWNER) |
| Authorized Official Contact | 9522326710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Giant Steps Center Llc 2417 87th Trl N Brooklyn Park MN 55443-3733 Ph: (952) 232-6712 | Giant Steps Center Llc 2642 University Ave W Ste 115 Saint Paul MN 55114-1032 Ph: (952) 232-6712 |
| NPI Number | 1275115743 |
|---|---|
| Provider Enumeration Date | 04/24/2021 |
| Last Update Date | 04/24/2021 |
| Certification Date | 04/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275115743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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