Individual
MS. TIFFANY MARIE LEUTHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6545 FRANCE AVE S, SUITE 302, EDINA, MN 55435-2131
(952) 230-9173
Mailing address
1810 OAKVIEW LN N, PLYMOUTH, MN 55441-3937
(952) 230-9173
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1612
MN
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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