Provider Information for 1184325706
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EVITA MICHELLE SANCHEZ MS, LMFT
Sex: Female
NPI: 1184325706
Last Updated: 2023-03-10
Certification Date: 2023-03-10
Certification Date: 2023-03-10
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1184325706 | ||||||||
| Enumeration Date | 2023-03-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8121 PORTLAND AVE S BLOOMINGTON, MN 55420-1318 United States Phone: 952-486-3541 | Fax: | ||||||||
| Primary Practice Address | 711 W LAKE ST MINNEAPOLIS, MN 55408-2918 United States Phone: 651-321-1515 | Fax: | ||||||||
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