BROOKE MIMMACK, MA
Counselor - Professional
Active
Individual
NPI: 1750087615
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | - |
Frequently Asked Questions
NPI 1750087615 is the National Provider Identifier for BROOKE MIMMACK, MA, a Counselor - Professional provider located in Baxter, MN. This NPI was enumerated on February 2, 2023.
BROOKE MIMMACK, MA practices at 13045 FALCON DR STE 100, Baxter, MN 56425.
Quick Facts
- NPI
- 1750087615
- Type
- Individual
- Enumerated
- Feb 2, 2023
- Last Updated
- Feb 2, 2023
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