Individual
IMAN DADRAS KONESTANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9325 GARLAND LANE N APT 108, MAPPLE GROVE, MN 55311
(612) 516-6880
Mailing address
9325 GARLAND LN N APT 108, MAPPLE GROVE, MN 55311
(612) 516-6880
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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