Individual
HAILEY JO MORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17645 JUNIPER PATH STE 205, LAKEVILLE, MN 55044-7491
(507) 581-2957
Mailing address
1337 ALAMEDA ST, SAINT PAUL, MN 55117-4115
(320) 226-3157
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
541990
MN
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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