Provider First Line Business Practice Location Address:
2430 NICOLLET AVE SOUTH
Provider Second Line Business Practice Location Address:
WASHBURN CENTER FOR CHILDREN
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-871-1454
Provider Business Practice Location Address Fax Number:
612-871-1505
Provider Enumeration Date:
08/29/2013