Individual
MARY PYLKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2414 E 117TH ST, BURNSVILLE, MN 55337-1269
(612) 435-7380
Mailing address
2414 E 117TH ST, BURNSVILLE, MN 55337-1269
(612) 435-7380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R118735-9
MN
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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