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Individual

DR. COLLEEN ETZBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RHD, LPC

Contact information

Practice address
145 2ND ST W, WABASHA, MN 55981-1245
(715) 279-8591
Mailing address
145 2ND ST W, WABASHA, MN 55981-1245
(715) 279-8591

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5537
WI
101YP2500X
Professional Counselor
Primary
CC03123
MN

Other

Enumeration date
07/16/2017
Last updated
11/22/2024
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