Individual
LATARSHA NICOLE BRONAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(833) 207-0304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MN
Other
Enumeration date
06/06/2016
Last updated
06/25/2024
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