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Organization

PRAIRIE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIMA DERAKHSHANI SEAVER LMFT (THERAPIST)
(651) 259-9700
Entity
Organization

Contact information

Practice address
7616 CURRELL BLVD, WOODBURY, MN 55125-2290
(651) 259-9700
(651) 259-9730
Mailing address
7616 CURRELL BLVD STE 100, WOODBURY, MN 55125-2295
(651) 259-9700
(651) 259-9730

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 1541
MN

Other

Enumeration date
12/03/2010
Last updated
12/03/2010
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