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Contact Information

ABC CHILD & FAMILY THERAPY CENTER
40 16TH ST SE
SUITE D
ROCHESTER, MN55904-7987
 Phone: 507-536-7662
 Fax: 507-536-7664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ABC CHILD FAMILY THERAPY CENTER · (Female)

NPI # 1255508537
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2008
Last updated 10/24/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 8385
  • MN Medicaid 144517100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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