Individual
MISS AMBER NICOLE LODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N BROAD ST, MANKATO, MN 56001-3585
(507) 200-2624
Mailing address
201 N BROAD ST, MANKATO, MN 56001-3585
(507) 200-2624
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4060
MN
Other
Enumeration date
02/10/2021
Last updated
11/18/2021
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