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Individual

MS. SUSAN E BOYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT CEAP

Contact information

Practice address
4445 W 77TH ST STE 234, MINNEAPOLIS, MN 55435-5146
(952) 945-9179
(952) 835-1995
Mailing address
4445 W 77TH ST STE 234, MINNEAPOLIS, MN 55435-5146
(952) 945-9179
(952) 835-1995

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1273
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
670190600
MN
Enumeration date
12/14/2006
Last updated
07/02/2020
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