| Hennepin County | |
|
525 Portland Ave # Mc963 Minneapolis MN 55415-1533 | |
| (612) 596-1223 | |
| Not Available |
| Full Name | Hennepin County |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 525 Portland Ave # Mc963, Minneapolis, Minnesota |
| Authorized Official Name and Position | Elizabeth Blair David (FINANCIAL DIRECTOR) |
| Authorized Official Contact | 6123482247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hennepin County 525 Portland Ave # Mc963 Minneapolis MN 55415-1533 Ph: (612) 596-1223 | Hennepin County 525 Portland Ave # Mc963 Minneapolis MN 55415-1533 Ph: (612) 596-1223 |
| NPI Number | 1184357097 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/07/2022 |
| Certification Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184357097 | NPI | - | NPPES |
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