Individual
KATIE JENE GARREY SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401
(218) 454-3826
(218) 454-1024
Mailing address
15221 RUSSELL RD, BRAINERD, MN 56401-5364
(605) 929-2477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1787
MN
Other
Enumeration date
04/03/2018
Last updated
08/17/2018
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