Individual
MS. MARY KAY SHARP PILTINGSRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2078 100TH AVE NE, EYOTA, MN 55934
(507) 272-9050
Mailing address
2078 100TH AVE NE, EYOTA, MN 55934
(507) 272-9050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00838
MN
163W00000X
Registered Nurse
R117035-3
MN
Other
Enumeration date
07/24/2012
Last updated
05/17/2016
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