Individual
CAMILLE CARLSON ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2724 UNIVERSITY AVE SE UNIT B, MINNEAPOLIS, MN 55414-3210
(612) 299-1090
Mailing address
5455 SMETANA DR APT 1110, MINNETONKA, MN 55343-4408
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3406
MN
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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