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Carolyn Disch Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, Minnesota
NPI 1366149775

Carolyn Disch Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Bloomington, MN and is specialized in Mental Health (Including Community Mental Health Center). Carolyn Disch Llc practices in Bloomington, MN. The NPI Number for Carolyn Disch Llc is 1366149775 and holds a License No. (Minnesota).

The current practice location address for Carolyn Disch Llc is 8120 Penn Ave S Ste 500F, Bloomington, MN and can be reached out via phone at 612-325-6904.

Location: 8120 Penn Ave S Ste 500F, Bloomington, MN, 55431-1367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366149775
Provider Name
Carolyn Disch Llc
Credential
Provider Entity Type
Organization
Address
8120 Penn Ave S Ste 500F, Bloomington, MN, 55431-1367
Phone Number
612-325-6904
Fax Number
Provider Enumeration Date
02/15/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649910985 01 MN NPI
institution
Provider Business Practice Location Address Details
Address
8120 Penn Ave S Ste 500F
City
Bloomington
State
Minnesota
Zip
55431-1367
Phone Number
612-325-6904
Fax Number
person
Provider Business Mailing Address Details
Address
8120 Penn Ave S Ste 500F
City
Bloomington
State
Minnesota
Zip
55431-1367
Phone Number
612-325-6904
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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