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Individual

MERRICK GAIL MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
975 34TH AVE NW STE 215, ROCHESTER, MN 55901-7055
(507) 288-5818
(507) 424-1052
Mailing address
975 34TH AVE NW STE 215, ROCHESTER, MN 55901-7055
(507) 288-5818
(507) 424-1052

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
CC03781
MN
101YP2500X
Professional Counselor
Primary
CC03781
MN

Other

Enumeration date
09/02/2021
Last updated
07/06/2023
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