Individual
ELIZA WOODWARD HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1288
(612) 223-8898
Mailing address
5 SPARROW LN, NORTH OAKS, MN 55127-6453
(651) 492-4770
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/22/2022
Last updated
04/20/2023
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