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NPI Code Detail

MEDICARE: LARKEY AND WRIGHT INC

MEDICARE: LARKEY AND WRIGHT INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1629508742
Entity Type Code : Organization
Provider Name (Legal Business Name) : LARKEY AND WRIGHT INC
Provider Business Mailing Address
First Line : 475 CLEVELAND AVE N STE 316
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-5051
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 475 CLEVELAND AVE N STE 316
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-5051
Country : US
Telephone Number : 651-330-3434
Fax Number : 651-330-3581
Authorized Official
Title or Position : COO
Name : ALYSSA WRIGHT
Credential :
Telephone Number : 651-330-3434
Provider Enumeration Date : 06/13/2017
Last Update Date : 11/01/2024

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