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Individual

SARAH LEIGH SIMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LAMFT, BCB

Contact information

Practice address
1619 DAYTON AVE STE 303, SAINT PAUL, MN 55104-6276
(651) 605-6020
Mailing address
1619 DAYTON AVE STE 303, SAINT PAUL, MN 55104-6276
(651) 605-6020

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3180
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82-3797143
SECRETARY OF STATE- IRS
MN
Enumeration date
12/31/2017
Last updated
12/31/2017
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