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Individual

HOLLEY J. MATHIEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 841-2109
Mailing address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 841-2109

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3062
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1016931
PREFERREDONE
MN
01
116591
UCARE MINNESOTA
MN
05
144528600
MN
01
51Q34AR
BLUE SHIELD OF MINNESOTA
MN
01
62-02903
UNITED BEHAVIORAL HEALTH
MN
01
HP24141
HEALTHPARTNERS
MN
Enumeration date
06/06/2006
Last updated
11/14/2022
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