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Individual

JUSTIN MICHAEL MEDNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 5TH ST E, 208, NORTHFIELD, MN 55057-2067
(507) 222-9230
(507) 786-9877
Mailing address
7600 PARKLAWN AVE, 380, EDINA, MN 55435-5125
(612) 203-2961
(952) 831-0033

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/12/2017
Last updated
01/12/2017
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