Provider Information for 1770991317
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KATHRYN ANN PRATT MA, LADC, LPCC
Sex: Female
NPI: 1770991317
Last Updated: 2022-07-21
Certification Date: 2022-07-21
Certification Date: 2022-07-21
Details
Name | Value | ||||||||||||
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NPI | 1770991317 | ||||||||||||
Enumeration Date | 2014-07-28 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 1900 SILVER LAKE RD NW 110 NEW BRIGHTON, MN 55112-1786 United States Phone: 651-379-1718 | Fax:651-379-1738 | ||||||||||||
Primary Practice Address | 7300 147TH ST W 204 APPLE VALLEY, MN 55124-7541 United States Phone: 952-997-3020 | Fax:952-997-3026 | ||||||||||||
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