Individual
COREY BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
227 COLFAX AVE N STE 130, MINNEAPOLIS, MN 55405-1408
(612) 259-7384
Mailing address
227 COLFAX AVE N STE 130, MINNEAPOLIS, MN 55405-1408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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