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Individual

SARAH ELISABETH HALLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
630 E MAIN ST, ANOKA, MN 55303-2527
(763) 712-1903
(763) 712-1917
Mailing address
1565 LAKE JAMES DR, PRUDENVILLE, MI 48651-9420
(989) 538-0006

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3346
MN
106H00000X
Marriage & Family Therapist
4101007212
MI

Other

Enumeration date
09/23/2018
Last updated
08/22/2022
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