Individual
MS. JODY MORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
425 COON RAPIDS BLVD NW STE 200, COON RAPIDS, MN 55433-2753
(763) 360-8023
(763) 784-3647
Mailing address
425 COON RAPIDS BLVD NW STE 200, COON RAPIDS, MN 55433-2753
(763) 360-8023
(763) 784-3647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2009
MN
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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