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General NPI Number Information
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NPI Number | 1609749746
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Entity Type | Organization
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Legal Business Name | SOUTHWEST CHILD THERAPY CENTER
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 200 E COLLEGE DR STE 104
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City | MARSHALL
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State | MN
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Zip | 56258-1365
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Country | US
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Telephone | 507-565-6225
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Fax | 507-607-8961
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Provider Business Mailing Address
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Address Line | 331 SUMMIT AVE
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City | BALATON
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State | MN
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Zip | 56115-1078
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Country | US
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Telephone | 507-820-1251
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHELSEA ELIZABETH TRUMP
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Credential | MA, LMFT, IMH-E
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Telephone | 507-820-1251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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