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7242 Forestview Ln N Maple Grove MN 55369-5628 | |
| (612) 382-9274 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7242 Forestview Ln N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Jessica Zingelman (OWNER) |
| Authorized Official Contact | 6123829274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
314 Edelweiss Cir Nw Saint Michael MN 55376-1102 Ph: (612) 382-9274 | 7242 Forestview Ln N Maple Grove MN 55369-5628 Ph: (612) 382-9274 |
| NPI Number | 1932499522 |
|---|---|
| Provider Enumeration Date | 04/15/2011 |
| Last Update Date | 11/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932499522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13593 (Minnesota) | Primary |
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