Individual
BETHANY RAE PLUTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 147TH ST W STE 204, APPLE VALLEY, MN 55124-7850
(952) 234-6299
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 419-4314
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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