Individual
MELISSA BROGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LADC
Contact information
Practice address
1000 PAUL PKWY NE, BLAINE, MN 55434-3925
(763) 757-2906
(763) 757-2059
Mailing address
115 FORESTVIEW LN N, PLYMOUTH, MN 55441-5910
(763) 542-9212
(763) 542-9248
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
300082
MN
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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