Individual
MRS. MIRIAM A DECOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHNP, PT
Contact information
Practice address
30427 610TH AVE, WADENA, MN 56482-4426
(218) 639-6742
Mailing address
30427 610TH AVE, WADENA, MN 56482-4426
(218) 639-6742
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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