| Maple Grove Therapy And Wellness | |
|
7200 Forestview Ln N Maple Grove MN 55369-5571 | |
| (763) 200-1466 | |
| Not Available |
| Full Name | Maple Grove Therapy And Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7200 Forestview Ln N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Kelly Jo Wesner (OWNER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 7632001466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Grove Therapy And Wellness 7200 Forestview Ln N Maple Grove MN 55369-5571 Ph: (763) 200-1466 | Maple Grove Therapy And Wellness 7200 Forestview Ln N Maple Grove MN 55369-5571 Ph: (763) 200-1466 |
| NPI Number | 1427432087 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427432087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17743 (Minnesota) | Primary |
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