Rachel Kremer Licsw Llc | |
100 W 46th St Minneapolis MN 55419-4950 | |
(612) 822-4539 | |
Not Available |
Full Name | Rachel Kremer Licsw Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 100 W 46th St, Minneapolis, Minnesota |
Authorized Official Name and Position | Rachel Yvonne Lund Kremer (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 6128224539 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rachel Kremer Licsw Llc 2450 Stevens Ave Minneapolis MN 55404-3529 Ph: (612) 822-4539 | Rachel Kremer Licsw Llc 100 W 46th St Minneapolis MN 55419-4950 Ph: (612) 822-4539 |
NPI Number | 1407125354 |
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Provider Enumeration Date | 12/21/2011 |
Last Update Date | 12/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407125354 | NPI | - | NPPES |
630993300 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12821 (Minnesota) | Primary |
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