SARA PROVO

VICTORIA, MN
NPI1912582354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MN  2765)
Enumeration Date2021-03-17
Last Update Date2021-04-06
Business Address
SARA PROVO LPCC
1772 STIEGER LAKE LN STE 220
VICTORIA, MN 55386-7723
Phone number: 952-443-4600
Mailing Address
SARA PROVO LPCC
PO BOX 51
VICTORIA, MN 55386-0051
Phone number: 952-443-4600
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