Individual
SUSAN RENEE DIEKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1626
(612) 223-8898
Mailing address
4121 145TH AVE NW, ANDOVER, MN 55304-3183
(612) 812-9519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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