Individual
AUDREY LYNETTE HANMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 231-4993
Mailing address
26303 GRANADA AVE, WYOMING, MN 55092-9268
(651) 231-4993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2093
MN
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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