Individual
MRS. GERALDINE A SOLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
25591 SPRUCE DR, BOVEY, MN 55709
(218) 245-2321
Mailing address
25591 SPRUCE DR, BOVEY, MN 55709
(218) 245-2321
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0038
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2G611S0
BLUE CROSS BLUE SHIELD
MN
Enumeration date
12/07/2007
Last updated
12/07/2007
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