Individual
KATHRYN M WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
14300 NICOLLET CT STE 130, BURNSVILLE, MN 55306-3422
(952) 435-8814
(952) 435-7705
Mailing address
2550 UNIVERSITY AVE W STE 435S, SAINT PAUL, MN 55114-1907
(651) 286-8527
(651) 647-1861
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3044
MN
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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