Individual
MOLLY HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(952) 826-8475
Mailing address
11062 POLK ST NE, BLAINE, MN 55434-0003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3159
MN
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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