| M&t Sisters Of Serendipity Pllc | |
|
212a Centralave Faribault MN 55021 | |
| (507) 271-5089 | |
| Not Available |
| Full Name | M&t Sisters Of Serendipity Pllc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 212a Centralave, Faribault, Minnesota |
| Authorized Official Name and Position | Mallory Kate Fuchs (OWNER/CEO) |
| Authorized Official Contact | 5072715089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M&t Sisters Of Serendipity Pllc 512 4th St Sw Medford MN 55049 Ph: () - | M&t Sisters Of Serendipity Pllc 212a Centralave Faribault MN 55021 Ph: (507) 271-5089 |
| NPI Number | 1053957357 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 11/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053957357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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