Individual
AUTUMN NAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 250-4751
Mailing address
3017 YORK AVE N, ROBBINSDALE, MN 55422-5417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1141
MN
Other
Enumeration date
05/26/2016
Last updated
01/04/2024
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