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1826 Commerce Dr North Mankato MN 56003-1800 | |
(507) 229-0350 | |
Not Available |
Full Name | |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1826 Commerce Dr, North Mankato, Minnesota |
Authorized Official Name and Position | Amanda Lee Burg (OWNER) |
Authorized Official Contact | 5072290350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1826 Commerce Dr North Mankato MN 56003-1800 Ph: (507) 229-0350 | 1826 Commerce Dr North Mankato MN 56003-1800 Ph: (507) 229-0350 |
NPI Number | 1124684907 |
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Provider Enumeration Date | 05/16/2019 |
Last Update Date | 10/25/2023 |
Certification Date | 10/25/2023 |
Identifier | Type | State | Issuer |
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1124684907 | NPI | - | NPPES |