Individual
SARAH NIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3440 FEDERAL DR STE 150, EAGAN, MN 55122-3516
(612) 419-1159
Mailing address
2451 CANTON CT, MENDOTA HEIGHTS, MN 55120-1735
(612) 419-1159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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