| John 10 10 Llc | |
|
1517 Highway 13 E Burnsville MN 55337-2917 | |
| (952) 956-2992 | |
| Not Available |
| Full Name | John 10 10 Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1517 Highway 13 E, Burnsville, Minnesota |
| Authorized Official Name and Position | Joicy Thomas (OWNER, CLINICIAN) |
| Authorized Official Contact | 9529562992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John 10 10 Llc 5101 Long Prairie Road Suite 700 Pmb 321 Flowermound TX 75028 Ph: (952) 956-2992 | John 10 10 Llc 1517 Highway 13 E Burnsville MN 55337-2917 Ph: (952) 956-2992 |
| NPI Number | 1518725142 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518725142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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