Doctor V Llc | |
2002 Cromell Drive Hope House Of Itasca County Laprairie MN 55744 | |
(218) 398-3502 | |
(218) 326-4390 |
Full Name | Doctor V Llc |
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Speciality | Psychologist - Clinical |
Location | 2002 Cromell Drive, Laprairie, Minnesota |
Authorized Official Name and Position | Mischelle L Vietanen (OWNER) |
Authorized Official Contact | 2183983502 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Doctor V Llc 2002 Cromell Drive Laprairie MN 55744 Ph: (218) 398-3502 | Doctor V Llc 2002 Cromell Drive Hope House Of Itasca County Laprairie MN 55744 Ph: (218) 398-3502 |
NPI Number | 1912311333 |
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Provider Enumeration Date | 06/13/2014 |
Last Update Date | 07/14/2014 |
Identifier | Type | State | Issuer |
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1912311333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 5574 (Minnesota) | Primary |