Individual
CASSANDRA BROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9382 OAK AVE, WACONIA, MN 55387-9422
(855) 454-2463
Mailing address
2205 SILVER LEAF TRL, COLOGNE, MN 55322-4523
(952) 688-2951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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