Individual
MICHELLE NICOLE IVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
301 MAIN ST W, NEW PRAGUE, MN 56071
(507) 301-3412
Mailing address
301 MAIN ST W, NEW PRAGUE, MN 56071
(507) 301-3412
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2591
MN
Other
Enumeration date
06/11/2013
Last updated
10/29/2024
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