Individual
EMILY NICOLE PEYSAR FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
105 UNION ST S STE 3, MORA, MN 55051-1592
(651) 448-2322
(833) 466-1813
Mailing address
15798 110TH ST, FORESTON, MN 56330-9527
(218) 316-1157
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22190
MN
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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