Individual
RENATA RAYE BOSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 5TH ST N, BRECKENRIDGE, MN 56520-1434
(218) 651-0212
(218) 651-0220
Mailing address
115 5TH ST N, BRECKENRIDGE, MN 56520-1434
(218) 651-0212
(218) 651-0220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
612
MN
Other
Enumeration date
04/10/2012
Last updated
09/20/2018
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