Individual
MR. ROBERT WAYNE EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
Mailing address
10310 41ST AVE N, PLYMOUTH, MN 55441-1536
(763) 312-3660
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4243
MN
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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