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Individual

LYDIA HELEN FRUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
2380 TROOP DR UNIT 201, SARTELL, MN 56377-4637
(763) 633-5111
Mailing address
812 EDINBURGH ST, SARTELL, MN 56377-1969
(320) 761-0326

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
MN
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/10/2022
Last updated
10/10/2022
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