Organization
EPIPHANY PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEEDE L KOEL RN LPC NCC (OWNER DIRECTOR PRACTITIONER)
(507) 532-7326
Entity
Organization
Contact information
Practice address
100 CHURCH ST, MARSHAL, MN 56258
(507) 532-7326
Mailing address
608 VIKING DRIVE, MARSHALL, MN 56258-2300
(507) 532-7326
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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