Individual
MARTHA HURTADO MINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
712 N FRONT ST, CROOKSTON, MN 56716-1252
(954) 668-3621
Mailing address
712 N FRONT ST, CROOKSTON, MN 56716-1252
(218) 277-9905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16103
MN
Other
Enumeration date
01/07/2020
Last updated
03/08/2022
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