Laurel Hiller Llc | |
11468 Marketplace Dr N Ste 6001083 Champlin MN 55316-3872 | |
(763) 310-1352 | |
Not Available |
Full Name | Laurel Hiller Llc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 11468 Marketplace Dr N Ste 6001083, Champlin, Minnesota |
Authorized Official Name and Position | Laurel L Hiller (THERAPIST) |
Authorized Official Contact | 7633101352 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Laurel Hiller Llc 11468 Marketplace Dr N Ste 6001083 Champlin MN 55316-3872 Ph: (763) 310-1352 | Laurel Hiller Llc 11468 Marketplace Dr N Ste 6001083 Champlin MN 55316-3872 Ph: (763) 310-1352 |
NPI Number | 1952005407 |
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Provider Enumeration Date | 03/29/2023 |
Last Update Date | 04/16/2023 |
Certification Date | 04/16/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952005407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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