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Individual

BROOKE L. ZUPANCICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPCC

Contact information

Practice address
624 13TH ST S, VIRGINIA, MN 55792-3149
(218) 749-2881
(218) 749-3806
Mailing address
PO BOX 1188, VIRGINIA, MN 55792-1188
(218) 749-2881
(218) 749-3806

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02000
MN

Other

Enumeration date
12/16/2018
Last updated
12/16/2018
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