Individual
MS. LIESE FREDERICKA VON BRAUCHITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
2900 PIEDMONT AVE, 2900 PIEDMONT AVE, DULUTH, MN 55811-2915
(218) 740-7618
Mailing address
4720 BURNING TREE ROAD, BURCH TREE CENTER, DULUTH, MN 55811
(218) 623-1812
(218) 623-1811
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2705
MN
Other
Enumeration date
06/14/2016
Last updated
05/06/2019
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