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Organization
FAMILY PROSPECTIVE RESOURCES, INC
Active
Organization
FAMILY PROSPECTIVE RESOURCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M THARALDSON (OFFICE MANAGER)
(763) 263-7896
Entity
Organization
Contact information
Practice address
35 LAKE ST SO, BIG LAKE, MN 55309
(763) 263-7896
(763) 263-7897
Mailing address
35 LAKE ST SO, PO BOX 3, BIG LAKE, MN 55309
(763) 263-7896
(763) 263-7897
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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