Individual
VICTORIA LYNN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.M.F.T.
Contact information
Practice address
3141 FERNBROOK LN N, PLYMOUTH, MN 55447-5320
(612) 839-1791
Mailing address
12405 59TH AVE N, PLYMOUTH, MN 55442-1561
(612) 839-1791
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1804
MN
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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