Individual
MELANIE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
3490 LEXINGTON AVE N, SHOREVIEW, MN 55126-8074
(651) 486-3808
Mailing address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
07/17/2023
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