Individual
HENRIETTA OLUCHI COUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 NEWTON AVE N, MINNEAPOLIS, MN 55412-1150
(612) 463-0671
Mailing address
10250 FOLEY BLVD NW UNIT 48418, COON RAPIDS, MN 55448-5321
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28256
MN
Other
Enumeration date
02/01/2023
Last updated
02/11/2023
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