Individual
JUQUATTA BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 7TH ST S, SUITE 105, SAINT CLOUD, MN 56301-4285
(320) 257-6020
Mailing address
1204 7TH ST S, SUITE 105, SAINT CLOUD, MN 56301-4285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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