Individual
MIRANDA ELIZABETH SOLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701-2819
(218) 683-4354
Mailing address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701-2819
(218) 683-4354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302101
MN
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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