Individual
MARY LINDSTROM AMUNDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 W RIVER RD, DETROIT LAKES, MN 56501
(218) 844-6853
(866) 226-6130
Mailing address
891 BELSLY BLVD, MOORHEAD, MN 56560-5055
(218) 287-4338
(218) 287-5928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11297
MN
1041C0700X
Clinical Social Worker
Primary
11297
MN
Other
Enumeration date
05/26/2015
Last updated
08/02/2018
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