Individual
MRS. AMILY ROSE CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
802 S FRONT ST, MANKATO, MN 56001-2401
(651) 308-2900
Mailing address
111 COY ST, MANKATO, MN 56001-4609
(651) 308-2900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306364
MN
Other
Enumeration date
07/12/2022
Last updated
12/24/2024
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