Organization
COROLLA HEALTH PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA WHITE (OWNER)
(218) 312-1225
Entity
Organization
Contact information
Practice address
3920 13TH AVE E, SUITE 6, HIBBING, MN 55746-3675
(218) 312-1225
(888) 680-4314
Mailing address
PO BOX 352, MOUNTAIN IRON, MN 55768-0352
(218) 312-1225
(888) 680-4314
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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