Individual
MAGN NYANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
542 82ND AVE NE, SPRING LAKE PARK, MN 55432-1907
(612) 636-8926
Mailing address
542 82ND AVE NE, SPRING LAKE PARK, MN 55432-1907
(612) 636-8926
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00670
MN
Other
Enumeration date
11/07/2013
Last updated
11/08/2013
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