Individual
SUZANNE CAROL BEVEROTH POLLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
14949 62ND ST N, STILLWATER, MN 55082-6132
(651) 275-7400
(651) 275-7401
Mailing address
PO BOX 30, STILLWATER, MN 55082-0030
(651) 275-7400
(651) 275-7401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7619
MN
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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