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Individual

AUSTIN TODD MUCHOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMFT

Contact information

Practice address
2786 FAIRVIEW AVE N, ROSEVILLE, MN 55113-1306
(763) 412-1993
Mailing address
2933 40TH AVE S, MINNEAPOLIS, MN 55406-1854
(612) 805-7772

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
13663575-3902
UT
106H00000X
Marriage & Family Therapist
Primary
3884
MN
106H00000X
Marriage & Family Therapist
MFT.0002492
CO

Other

Enumeration date
01/05/2021
Last updated
11/08/2023
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