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Individual

AMELIA MARIE GANYO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
603 BRUCE ST, CROOKSTON, MN 56716-2914
(218) 281-3940
Mailing address
PO BOX 603, CROOKSTON, MN 56716-0603
(218) 280-2847

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
CC02321
MN

Other

Enumeration date
07/13/2016
Last updated
01/18/2021
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