Individual
MADILYN R BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WAYZATA BLVD, SAINT LOUIS PARK, MN 55426-1626
(612) 223-8898
Mailing address
1646 NILES AVE, SAINT PAUL, MN 55116-1422
(612) 999-5234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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