Individual
SAMANTHA IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1605 MAINSTREET STE 2A, HOPKINS, MN 55343-7408
(612) 756-8353
Mailing address
1605 MAINSTREET STE 2A, HOPKINS, MN 55343-7408
(612) 756-8353
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4081
MN
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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