Brooke Mimmack, MA

NPI #1750087615 in Baxter, Minnesota

Provider Information

NPI Number: 1750087615
Entity Type: Individual
Name: Brooke Mimmack, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MA
Enumeration Date: Feb 2, 2023
Last Updated: Feb 2, 2023

Practice Location

Address: 13045 FALCON DR STE 100
City: Baxter
State: Minnesota
ZIP Code: 56425-4201
Phone: (218) 829-9207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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