Individual
MS. DIANE ELLINGSON COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 GREEN AVE, KELLOGG, MN 55945
(507) 767-3220
Mailing address
BOX 165, 105 GREEN AVE, KELLOGG, MN 55945
(507) 767-3220
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1063577-1-AFC
MN
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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