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Individual

MRS. ALETHIA MOUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
9220 BASS LAKE RD, NEW HOPE, MN 55428-3000
(763) 225-4052
(888) 965-5130
Mailing address
9220 BASS LAKE RD, NEW HOPE, MN 55428-3000
(763) 225-4052
(888) 965-5130

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP1163
101YM0800X
Mental Health Counselor

Other

Enumeration date
12/01/2014
Last updated
05/29/2019
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