Individual
GRETA SMYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4660 SLATER RD, SUITE 210, EAGAN, MN 55122-4047
(651) 882-6299
Mailing address
15568 DANBURY AVE W, ROSEMOUNT, MN 55068-4659
(218) 341-9208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
03/21/2024
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