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Organization
TWIN CITIES PLAY THERAPY CENTER, LLC
Active
Organization
TWIN CITIES PLAY THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN MICHAEL BULGATZ LMFT (OWNER)
(651) 452-2305
Entity
Organization
Contact information
Practice address
3440 FEDERAL DR, SUITE 140, EAGAN, MN 55122-3501
(651) 452-2305
(651) 452-2796
Mailing address
3440 FEDERAL DR, SUITE 140, EAGAN, MN 55122-3501
(651) 452-2305
(651) 452-2796
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
05/02/2008
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