Center for Integrated Well Being INC
NPI #1053485003 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1053485003
- Entity Type
- Organization
- Organization Name
- Center for Integrated Well Being INC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1449 GRAND AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55105-2206
- Phone
- (651) 698-0768
Authorized Official
- Name
- MR. JEFFRY DAVID JEANETTA WARK, MA LICSW
- Title
- OWNER
- Phone
- (651) 698-0768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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