| Starfish Services Llc | |
|
600 W 78th St Suite 220a Chanhassen MN 55317-9585 | |
| (612) 567-4654 | |
| Not Available |
| Full Name | Starfish Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 600 W 78th St, Chanhassen, Minnesota |
| Authorized Official Name and Position | Julie R Stender (OWNER) |
| Authorized Official Contact | 6125674654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starfish Services Llc Po Box 954 Chanhassen MN 55317-0954 Ph: (612) 567-4654 | Starfish Services Llc 600 W 78th St Suite 220a Chanhassen MN 55317-9585 Ph: (612) 567-4654 |
| NPI Number | 1659644342 |
|---|---|
| Provider Enumeration Date | 02/12/2012 |
| Last Update Date | 04/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659644342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10404 (Minnesota) | Primary |
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