Individual
CHRISTINE LEE MANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MPH
Contact information
Practice address
3361 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2624
(612) 418-4262
Mailing address
3361 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2624
(612) 418-4262
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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