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
—
—
Other
Enumeration date
08/03/2006
Last updated
05/02/2008
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