Individual
MS. CAROLYNNE J MOFFAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7800 METRO PKWY, SUITE 300, BLOOMINGTON, MN 55425-1514
(651) 278-7607
(952) 851-9618
Mailing address
7800 METRO PKWY, SUITE 300, BLOOMINGTON, MN 55425-1514
(651) 278-7607
(952) 851-9618
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1737
MN
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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