Individual
MARILYN BANKOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 VINCENT AVE N, MINNEAPOLIS, MN 55430-3319
(612) 588-1993
Mailing address
5200 VINCENT AVE N, MINNEAPOLIS, MN 55430-3319
(612) 588-1993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5527
MN
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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