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Individual

MS. ROMY PAIGE SUNDEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA LMFT

Contact information

Practice address
2809 WAYZATA BLVD, MINNEAPOLIS, MN 55405-2125
(612) 377-9190
(612) 374-4498
Mailing address
2809 WAYZATA BLVD, MINNEAPOLIS, MN 55405-2125
(612) 377-9190
(612) 374-4498

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
933
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116042
OPTUM
01
126139C851
UCARE
05
168018800
MN
01
6267255
MEDICA
01
922241025754
PREFERRRED ONE
01
99D37SU
BCBS
01
HP28452
HEALTH PARTNERS
Enumeration date
07/12/2006
Last updated
01/04/2012
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