Individual
KATIE VAVRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 5TH ST SE, MILACA, MN 56353-1300
(320) 402-0115
Mailing address
11259 69TH ST NE, ALBERTVILLE, MN 55301-4576
(320) 295-0196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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