Individual
MS. SAMANTHA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAFMT
Contact information
Practice address
7251 EXCELSIOR RD, BAXTER, MN 56425-8477
(218) 454-0878
Mailing address
PO BOX 2506, BAXTER, MN 56425-2506
(218) 454-0878
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3076
MN
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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