Provider Information for 1710468509
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Ms. VIRGINIA MARY PAPPAS LPCC
Sex: Female
NPI: 1710468509
Last Updated: 2019-01-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1710468509 | ||||||||
| Enumeration Date | 2018-08-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1401 EAST 1ST STREET DULUTH, MN 55805-2407 United States Phone: 218-728-4491 | Fax:218-730-2367 | ||||||||
| Primary Practice Address | 40 11TH ST CLOQUET, MN 55720-1817 United States Phone: 218-879-4559 | Fax:218-879-0282 | ||||||||
| Secondary Practice Address(es) | 241 HIGHWAY 33 N | ||||||||
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