Choice of CFSS Consultation Services Provider
I, , DOB , PMI , choose Northstar CFSS LLC (NPI 1952291940) as my CFSS consultation services provider. I authorize Northstar CFSS to share this choice and coordinate my CFSS consultation services with my case manager, county/lead agency, assessor, the Minnesota Department of Human Services, and my health plan. I understand I can change my consultation provider at any time.
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