Individual
LANDYN T R PRESCOTT MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20547 US HWY 71 SOUTH, LONG PRIARIE, MN 56347
(218) 790-3409
Mailing address
903 N PINE ST, ROYALTON, MN 56373-9169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01414
MN
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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