Individual
MRS. MARY KATHLEEN GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 W FRANKLIN AVE, MINNEAPOLIS, MN 55404-2331
(612) 223-8899
Mailing address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1626
(612) 223-8899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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