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Individual

MAGGIE OMALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
658 GRAND AVE STE 201, SAINT PAUL, MN 55105-3492
(612) 474-0255
(612) 223-8899
Mailing address
658 GRAND AVE STE 201, SAINT PAUL, MN 55105-3492
(612) 474-0255

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/17/2019
Last updated
02/10/2022
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