Individual
VIOLETTA MARIE SYVERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
421 NEBRASKA AVE, BRECKENRIDGE, MN 56520-1415
(218) 651-0212
(218) 651-0220
Mailing address
421 NEBRASKA AVE, BRECKENRIDGE, MN 56520-1415
(218) 651-0212
(218) 651-0220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
01853
MN
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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