| Julia Moen, Llc | |
|
821 Raymond Ave Suite 440 Saint Paul MN 55114-1503 | |
| (651) 642-9317 | |
| (651) 642-1908 |
| Full Name | Julia Moen, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 821 Raymond Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Julia Kimberly Moen (OWNER) |
| Authorized Official Contact | 6514201540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Moen, Llc 491 Montrose Ln Saint Paul MN 55116-1134 Ph: (651) 642-9317 | Julia Moen, Llc 821 Raymond Ave Suite 440 Saint Paul MN 55114-1503 Ph: (651) 642-9317 |
| NPI Number | 1285027045 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285027045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9248 (Minnesota) | Primary |
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