Duffey Black Counseling and Care Managment of Wayzata, LLC

NPI #1427293851 in Wayzata, Minnesota

Provider Information

NPI Number: 1427293851
Entity Type: Organization
Organization Name: Duffey Black Counseling and Care Managment of Wayzata, LLC
Primary Specialty: Case Management
Enumeration Date: Dec 15, 2008
Last Updated: Dec 15, 2008

Practice Location

Address: 2000 BLACKBERRY LN
City: Wayzata
State: Minnesota
ZIP Code: 55391-2006
Phone: (952) 470-6182

Authorized Official

Name: MRS. NANCY DUFFEY BLACK, MS, LICSW, CEAP
Title: CLINICAL DIRECTOR
Phone: (952) 470-6182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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