Amanda Marie Simonson LADC

NPI 1760771034 - Counselor - 101YA0400X

NPI Details
NPI 1760771034
Gender Female
Enumeration Date 04/07/2011
Last Updated 04/07/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
135 COLORADO ST E
SAINT PAUL MN, 55107-2244, US
Phone (612) 454-2322
Fax (651) 255-0029
Business Location
135 COLORADO ST E
SAINT PAUL MN, 55107-2244, US
Phone (612) 454-2322
Fax (651) 255-0029
Toxanomy
Taxonomy Code 101YA0400X
License State Minnesota
License Number 303037
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According to our database, Mrs. Amanda Marie Simonson LADC NPI is 1760771034, taxonomy code is 101YA0400X and license number is 303037, license state is located at Minnesota. Amanda Marie Simonson LADC physically located at 135 Colorado St E, Saint Paul MN, 55107-2244. NPI Number Amanda Marie Simonson LADC has the Individual type.

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1760771034 NPI number is provided on an as is basis without warranty of any kind. 1760771034 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Marie Simonson LADC are for informational purposes only.