Individual
CASEY M PLANTE-THEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
1564 COUNTY ROAD 134, SAINT CLOUD, MN 56303-0346
(320) 229-5199
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2772
MN
Other
Enumeration date
03/25/2020
Last updated
02/26/2021
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