Individual
AMANDA HESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
775 LEE CIR SE, COKATO, MN 55321-4697
(763) 222-6723
Mailing address
PO BOX 1053, COKATO, MN 55321-1053
(763) 222-6723
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1101464
MN
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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