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Individual

DIANE E FERREIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1440 SARGENT AVE, SAINT PAUL, MN 55105-2329
(651) 214-3502
Mailing address
1440 SARGENT AVE, SAINT PAUL, MN 55105-2329
(651) 214-3502

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC00910
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
179857
CPRP
Enumeration date
06/08/2009
Last updated
10/25/2010
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