Individual
MARIA HARTOFILAKIDOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1355 S MAIN ST, ZUMBROTA, MN 55992-1457
(507) 202-3569
Mailing address
1355 S MAIN ST, ZUMBROTA, MN 55992-1457
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
302149
MN
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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