Individual
MS. SUZANNE MARY PRESTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
201 N BROAD ST, MANKATO, MN 56001-3585
(507) 200-2624
Mailing address
201 N BROAD ST, MANKATO, MN 56001-3585
(507) 200-2624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC00659
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841527488
—
MN
Enumeration date
11/03/2009
Last updated
01/05/2020
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