Individual
GRACE ELIZABETH LOUISE BOEHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
604 5TH ST SW, ROCHESTER, MN 55902-3256
(507) 282-2500
Mailing address
126 8TH ST NE, BYRON, MN 55920-1440
(651) 829-0191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304271
MN
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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