Individual
MARTHA SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13603 80TH CIR N, MAPLE GROVE, MN 55369-8961
(763) 284-3706
(763) 274-3121
Mailing address
1421 OAKLAND RD, WAYZATA, MN 55391-2247
(612) 616-3736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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