White Earth Band of Chippewa Indians

NPI #1033597216 in White Earth, Minnesota

Provider Information

NPI Number
1033597216
Entity Type
Organization
Organization Name
White Earth Band of Chippewa Indians
Subpart
Yes (part of a larger organization)
Parent Organization
WHITE EARTH BAND OF CHIPPEWA INDIANS
Primary Specialty
Counselor - Professional
Enumeration Date
May 8, 2015
Last Updated
May 8, 2015

Practice Location

Address
35233 MISSION LAKE ROAD
ZIP Code
56591
Phone
(218) 983-4180

Authorized Official

Name
JOAN LAVOY
Title
EDUCATION DIRECTOR
Phone
(218) 983-3285

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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