Weidendorf, Melissa

Weidendorf, Melissa is an individual health care provider with primary practice located at 20 Nw 3Rd St , Grand Rapids MN 55744-2711. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Weidendorf, Melissa can be contacted via phone (218) 302-4468.

Contact Information

Primary practice address
20 Nw 3Rd St Grand Rapids MN 55744-2711
Phone: (218) 302-4468
Fax: (218) 302-1457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1717 Minnesota

Profile Details

NPI number 1619484862
LBN Legal business name Weidendorf, Melissa
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2018
Last updated Feb 20th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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