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Individual

MICHELLE PAIGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2031 ROWLAND RD, MORA, MN 55051-7119
(763) 242-1400
Mailing address
2031 ROWLAND RD, MORA, MN 55051-7119
(763) 242-1400

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303610
MN
101YM0800X
Mental Health Counselor
Primary
CC01138
MN

Other

Enumeration date
08/29/2016
Last updated
07/21/2022
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