Individual
LOIS JUNE FLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LICSW
Contact information
Practice address
521 BROADWAY AVENUE NORTH, FIVE COUNTY MENTAL HEALTH CENTER BRAHAM, BRAHAM, MN 55006
(320) 396-3333
(320) 396-3363
Mailing address
PO BOX 287, 521 BROADWAY AVENUE NORTH, BRAHAM, MN 55006
(320) 396-3333
(320) 396-3363
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7571
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05Q72FL
BCBS
—
01
—
1012838
PREFERRED ONE
—
01
—
44323
OPTUM
—
01
—
6246041
UBH
—
01
—
HP23951
HEALTHPARTNERS
—
01
—
P00033243
RAILROAD MEDICARE
—
Enumeration date
02/13/2007
Last updated
07/08/2007
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