Individual
MRS. CAROL LEE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
13911 RIDGEDALE DR STE 460, MINNETONKA, MN 55305-1777
(651) 439-2059
(888) 675-8262
Mailing address
13911 RIDGEDALE DR STE 460, MINNETONKA, MN 55305-1777
(651) 439-2059
(888) 675-8262
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1610
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154583334
—
MN
Enumeration date
06/27/2008
Last updated
04/24/2018
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