Organization
M&T SISTERS OF SERENDIPITY PLLC
Active
Other names
Refine Service Coordination, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALLORY KATE FUCHS LADC (OWNER/CEO)
(507) 271-5089
Entity
Organization
Contact information
Practice address
212A CENTRALAVE, FARIBAULT, MN 55021
(507) 271-5089
Mailing address
512 4TH ST SW, MEDFORD, MN 55049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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