Individual
EMILY DACQUISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 CHICAGO AVE, MINNEAPOLIS, MN 55407-2614
(612) 824-0415
Mailing address
3901 CHICAGO AVE, MINNEAPOLIS, MN 55407-2614
(612) 824-0415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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