Individual
DR. MARY LOUISE FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
36261 CEDAR RIDGE DR, WINONA, MN 55987-5910
(507) 452-6945
Mailing address
36261 CEDAR RIDGE DR, WINONA, MN 55987-5910
(507) 452-6945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2163
NC
Other
Enumeration date
05/18/2007
Last updated
10/14/2020
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