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Individual

MS. MARY CHRISITNE VILELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW

Contact information

Practice address
222 9TH AVE W, ALEXANDRIA, MN 56308-2221
(320) 763-3912
(320) 763-6629
Mailing address
PO BOX 550, OSAKIS, MN 56360-0550
(320) 859-2271

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15430
MN

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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