Provider Information for 1538690383
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REBECCA LYNN REVIER LICSW
Sex: Female
NPI: 1538690383
Last Updated: 2025-04-02
Certification Date: 2025-04-02
Certification Date: 2025-04-02
Details
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NPI | 1538690383 | ||||||||
Enumeration Date | 2017-03-23 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 1707 EKLUND AVE DULUTH, MN 55811-1919 United States Phone: 218-213-7214 | Fax: | ||||||||
Primary Practice Address | 1707 EKLUND AVE DULUTH, MN 55811-1919 United States Phone: 218-213-7214 | Fax: | ||||||||
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