Individual
VANESSA ROSE CAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5272 FALCON DR, HERMANTOWN, MN 55811-1420
(218) 206-7252
Mailing address
5272 FALCON DR, HERMANTOWN, MN 55811-1420
(218) 206-7252
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1109634
MN
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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