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Individual

CORINNE SEGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036
Mailing address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01155
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC01155
STATE LICENSE
MN
Enumeration date
05/18/2016
Last updated
02/05/2018
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