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104 W Redwood St Marshall MN 56258-1980 | |
(507) 944-1557 | |
(507) 607-8717 |
Full Name | |
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Speciality | Social Worker |
Location | 104 W Redwood St, Marshall, Minnesota |
Authorized Official Name and Position | Judith Ann Elling Przybilla (CEO / THERAPIST) |
Authorized Official Contact | 5079441557 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2257 110th St Balaton MN 56115-3120 Ph: (507) 944-1557 | 104 W Redwood St Marshall MN 56258-1980 Ph: (507) 944-1557 |
NPI Number | 1255116331 |
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Provider Enumeration Date | 08/28/2023 |
Last Update Date | 02/06/2024 |
Certification Date | 02/06/2024 |
Medicare PECOS PAC ID | 7012367535 |
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Medicare Enrollment ID | O20231226001478 |
Identifier | Type | State | Issuer |
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1255116331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Judith Ann Elling Przybilla |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285334664 PECOS PAC ID: 9830549351 Enrollment ID: I20231226001528 |
Ed Yerka Psychological Consultant, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 W Main St Ste 7, Marshall, MN 56258 Phone: 507-401-2026 Fax: 662-601-3968 | |
The Journey Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Lyon St Ste 109, Marshall, MN 56258 Phone: 507-335-2220 Fax: 507-200-6245 | |