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Individual

RITA M. KOELMAN X

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
7600 BOONE AVE N, SUITE #2, BROOKLYN PARK, MN 55428-4563
(763) 515-2441
Mailing address
4731 WASHBURN AVE N, MINNEAPOLIS, MN 55430-3727
(218) 689-4307

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00428
MN

Other

Enumeration date
09/19/2014
Last updated
09/19/2014
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