Individual
MR. PAUL LUKE MLADNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1068 SO LAKE ST, #109, FOREST LAKE, MN 55025
(612) 719-7966
(651) 982-6035
Mailing address
1068 SO LAKE ST, SUITE 109, FOREST LAKE, MN 55025
(612) 719-7966
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1306
MN
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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