| Lake Effect Psychotherapy Group Llc | |
|
205 W 2nd St Ste 300 Duluth MN 55802-1920 | |
| (218) 228-0035 | |
| (218) 304-7862 |
| Full Name | Lake Effect Psychotherapy Group Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 205 W 2nd St Ste 300, Duluth, Minnesota |
| Authorized Official Name and Position | Dana Louise Garberg (SOLE MEMBER) |
| Authorized Official Contact | 2182280035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Effect Psychotherapy Group Llc 205 W 2nd St Ste 300 Duluth MN 55802-1920 Ph: (218) 228-0035 | Lake Effect Psychotherapy Group Llc 205 W 2nd St Ste 300 Duluth MN 55802-1920 Ph: (218) 228-0035 |
| NPI Number | 1649783697 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649783697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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