Individual
BRITTANY SQUILLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
14022 BLUEBIRD TRL NE, PRIOR LAKE, MN 55372-1297
(612) 564-3852
Mailing address
PO BOX 22, PRIOR LAKE, MN 55372-0022
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3550
MN
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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