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Individual

MARK W SKRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LP, LMFT

Contact information

Practice address
610 FLORENCE AVE, OWATONNA, MN 55060-4704
(507) 451-2630
(507) 455-8133
Mailing address
610 FLORENCE AVE, OWATONNA, MN 55060-4704

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1295
MN
106H00000X
Marriage & Family Therapist
196
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
117883
UCARE
MN
01
57443SK
BLUE CROSS BLUE SHIELD
MN
01
62-20365
UNITED BEHAVIORAL HEALTH
MN
01
HP18250
HEALTH PARTNERS
MN
Enumeration date
10/13/2006
Last updated
09/05/2007
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