Individual
MRS. SAMANTHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7520 HUDSON BLVD. N SUITE 205, OAKDALE, MN 55128
(651) 447-3605
Mailing address
N7932 US HIGHWAY 63, SPRING VALLEY, WI 54767-7821
(763) 242-7041
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4173
MN
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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