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Individual

HANS CARL SKULSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
7575 GOLDEN VALLEY RD STE 133, GOLDEN VALLEY, MN 55427-4570
(763) 546-8175
Mailing address
7575 GOLDEN VALLEY RD STE 133, GOLDEN VALLEY, MN 55427-4570
(763) 546-8175
(763) 546-2197

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1300
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150158500
MN
Enumeration date
05/14/2007
Last updated
07/25/2017
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