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Organization
MINNETONKA PSYCHOLOGY AND WELLNESS
Active
Organization
MINNETONKA PSYCHOLOGY AND WELLNESS
Active
Other names
Minnesota Relationship Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER A. BALLOU PHD (CO-OWNER)
(952) 767-0442
Entity
Organization
Contact information
Practice address
19765 HIGHWAY 7, SUITE 203, SHOREWOOD, MN 55331
(952) 767-0442
(952) 854-1647
Mailing address
19765 HIGHWAY 7, SUITE 203, SHOREWOOD, MN 55331
(952) 767-0442
(952) 854-1647
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1130
MN
Other
Enumeration date
08/06/2012
Last updated
07/10/2014
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