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Individual

NOZUKO NANDI MAGADLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2864 MIDDLE ST STE 100, LITTLE CANADA, MN 55117-1411
(801) 555-6666
Mailing address
2864 MIDDLE ST STE 100, LITTLE CANADA, MN 55117-1411
(801) 555-6111

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10775045-6009
UT

Other

Enumeration date
07/25/2021
Last updated
02/16/2022
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