Individual
MIRANDA RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 147TH ST W, APPLE VALLEY, MN 55124-7541
(952) 997-3020
Mailing address
7009 1ST AVE S, RICHFIELD, MN 55423-3104
(763) 656-3894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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