| Pro Network | |
|
1687 Woodlane Dr Ste 208 Woodbury MN 55125-3047 | |
| (507) 951-9980 | |
| Not Available |
| Full Name | Pro Network |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1687 Woodlane Dr Ste 208, Woodbury, Minnesota |
| Authorized Official Name and Position | Melinda Rae Coscarelli (OWNER) |
| Authorized Official Contact | 5079519980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Network 47842 Blue Heron Trl Rush City MN 55069-2803 Ph: (507) 951-9980 | Pro Network 1687 Woodlane Dr Ste 208 Woodbury MN 55125-3047 Ph: (507) 951-9980 |
| NPI Number | 1740938778 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 03/20/2022 |
| Certification Date | 03/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740938778 | NPI | - | NPPES |
| 1598134645 | Medicaid | MN |
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