Individual
STACIE M FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10621 165TH ST W, LAKEVILLE, MN 55044-3520
(715) 410-7092
Mailing address
6035 235TH ST W, FARMINGTON, MN 55024-9636
(715) 410-7092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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