Individual
MS. LATINA ELSE SIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
1702 MILLER TRUNK HWY STE 209, DULUTH, MN 55811-4448
(218) 524-8889
(218) 524-8890
Mailing address
1702 MILLER TRUNK HWY STE 209, DULUTH, MN 55811-4448
(218) 524-8889
(218) 524-8890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LP3562
MN
103TC0700X
Clinical Psychologist
Primary
LP3562
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327376800
—
MN
Enumeration date
05/11/2006
Last updated
06/29/2022
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