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1800 Chicago Ave Ste 100 Minneapolis MN 55404-2592 | |
| (612) 879-3115 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1800 Chicago Ave Ste 100, Minneapolis, Minnesota |
| Authorized Official Name and Position | Adesola Oni (AREA MANAGER) |
| Authorized Official Contact | 6124322880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1800 Chicago Ave Ste 100 Minneapolis MN 55404-2592 Ph: (612) 879-3115 | 1800 Chicago Ave Ste 100 Minneapolis MN 55404-2592 Ph: (612) 879-3115 |
| NPI Number | 1003526955 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003526955 | NPI | - | NPPES |
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