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238 W Main St Ste 5 Marshall MN 56258-1398 | |
(507) 476-0495 | |
(507) 401-3695 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 238 W Main St Ste 5, Marshall, Minnesota |
Authorized Official Name and Position | Sabrina Maria Ulrich (OWNER) |
Authorized Official Contact | 5074760495 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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238 W Main St Ste 5 Marshall MN 56258-1398 Ph: (507) 476-0495 | 238 W Main St Ste 5 Marshall MN 56258-1398 Ph: (507) 476-0495 |
NPI Number | 1649800764 |
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Provider Enumeration Date | 01/16/2020 |
Last Update Date | 01/27/2020 |
Certification Date | 01/27/2020 |
Identifier | Type | State | Issuer |
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1649800764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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