HALBUR/WITHAM, LLC
Managed Care Organizations at 125 St, Rice, MN

License number
Minnesota 106H00000X
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: MRS. JEANNETTE C. WITHAM LMFT
Title: CLINICAL SUPERVISOR
Phone: (320) 282-0112
Address
Address 2
2623 125Th St NE, Rice, MN 56367
65189 365Th St, Watkins, MN 55389
National Provider ID: 1912440256
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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