Individual
SAVANNAH MANS-VAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5960 138TH ST N, HUGO, MN 55038-9294
(612) 208-6556
Mailing address
PO BOX 102, WYOMING, MN 55092-0102
(612) 208-6556
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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