Provider Information for 1003173907
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MELISSA ANN WINKLER licsw
Sex: Female
NPI: 1003173907
Last Updated: 2018-04-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1003173907 | ||||||||
| Enumeration Date | 2012-04-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4000 W 9TH ST DULUTH, MN 55807-1563 United States Phone: 218-625-2638 | Fax:651-323-2184 | ||||||||
| Primary Practice Address | 4000 W 9TH ST DULUTH, MN 55807-1563 United States Phone: 218-625-2638 | Fax:651-323-2184 | ||||||||
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