Individual
GRETCHEN SLAVICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
519 ANNE ST NW STE B, BEMIDJI, MN 56601-4278
(218) 444-2845
Mailing address
PO BOX 430, BEMIDJI, MN 56619-0430
(218) 444-2845
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3882
MN
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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