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Individual

BREANNA MARIE MAE HATINEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSED

Contact information

Practice address
925 E SUPERIOR ST STE 113, DULUTH, MN 55802-2253
(218) 310-8896
Mailing address
48 7TH ST, CLOQUET, MN 55720-1801
(218) 451-1848

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/19/2021
Last updated
05/17/2023
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