Individual
MARISSA RAGUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 JEFFERSON BLVD, BIG LAKE, MN 55309-4667
(763) 367-6080
Mailing address
2620 BLAKELY LN, NAPERVILLE, IL 60540-1957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306108
MN
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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