Generations: Community Support Services
NPI #1336230713 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1336230713
- Entity Type
- Organization
- Organization Name
- Generations: Community Support Services
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Apr 3, 2009
Practice Location
- Address
- 60 MARIE AVE E
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55118-5910
- Phone
- (651) 552-9071
Authorized Official
- Name
- KATHLEEN JOAN GORMAN, LICSW
- Title
- PRESIDENT
- Phone
- (612) 676-1604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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