Individual
AMBER MANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 6TH AVE S, SAINT CLOUD, MN 56301-5209
(320) 253-5930
(651) 925-0057
Mailing address
1201 25TH ST S, FARGO, ND 58103-2311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1605
MN
Other
Enumeration date
08/26/2015
Last updated
09/11/2017
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