| Lutheran Social Service Of Minnesota | |
|
211 Holmes St W Detroit Lakes MN 56501-3023 | |
| (218) 847-0629 | |
| Not Available |
| Full Name | Lutheran Social Service Of Minnesota |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 211 Holmes St W, Detroit Lakes, Minnesota |
| Authorized Official Name and Position | Bill Vanderwall (ASSOCIATE VICE PRESIDENT) |
| Authorized Official Contact | 18005825260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Service Of Minnesota 39400 Moonlight Bay Trl Pelican Rapids MN 56572-7546 Ph: (218) 863-2741 | Lutheran Social Service Of Minnesota 211 Holmes St W Detroit Lakes MN 56501-3023 Ph: (218) 847-0629 |
| NPI Number | 1700968088 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700968088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13632 (Minnesota) | Primary |
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