Individual
MRS. KELLY ANN TYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(952) 826-8475
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(952) 826-8475
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2586
MN
Other
Enumeration date
11/07/2012
Last updated
10/03/2022
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