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Individual

MS. LAURIE A KOCANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1129 GRAND AVE, SAINT PAUL, MN 55105-2629
(651) 641-0177
Mailing address
6041 COLUMBUS AVE, MINNEAPOLIS, MN 55417-3109
(612) 869-6348

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/20/2011
Last updated
09/20/2011
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