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Individual

TERRI FEDORENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2025 STEARNS WAY STE 111, SAINT CLOUD, MN 56303-1275
(320) 253-3540
Mailing address
259 9TH AVE N, SARTELL, MN 56377-1848
(320) 420-3846

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2463
MN

Other

Enumeration date
10/23/2015
Last updated
11/06/2015
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