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Individual

JACK LESLIE HINRICHS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMFT

Contact information

Practice address
1900 SILVER LAKE RD NW, SUITE110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE RD NW, SUITE110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1468
MN

Other

Enumeration date
07/17/2006
Last updated
07/08/2007
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