Individual
MS. GRACE ANNE CIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
10077 DOGWOOD ST NW, COON RAPIDS, MN 55448-5286
(763) 755-3801
Mailing address
15505 LILAC DR, EDEN PRAIRIE, MN 55347-0003
(507) 382-6275
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01647
MN
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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