Threesixty, Llc | |
4884 Miller Trunk Hwy Ste 100 Hermantown MN 55811-2836 | |
(218) 812-3600 | |
(218) 309-0198 |
Full Name | Threesixty, Llc |
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Speciality | Social Worker - Clinical |
Location | 4884 Miller Trunk Hwy Ste 100, Hermantown, Minnesota |
Authorized Official Name and Position | Angel Koski (CEO) |
Authorized Official Contact | 2185912648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Threesixty, Llc 4960 Miller Trunk Hwy # 600-b Hermantown MN 55811-1891 Ph: (218) 260-1933 | Threesixty, Llc 4884 Miller Trunk Hwy Ste 100 Hermantown MN 55811-2836 Ph: (218) 812-3600 |
NPI Number | 1427662592 |
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Provider Enumeration Date | 09/04/2020 |
Last Update Date | 02/16/2021 |
Certification Date | 02/16/2021 |
Identifier | Type | State | Issuer |
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1427662592 | NPI | - | NPPES |
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