Individual
STACEY RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4402 HAINES RD STE 3, DULUTH, MN 55811-1528
(218) 722-8654
Mailing address
4402 HAINES RD STE 3, DULUTH, MN 55811-1528
(218) 722-8654
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23398
MN
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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