Individual
MARY BLUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 MINNEHAHA AVE, MINNEAPOLIS, MN 55404-3107
(651) 728-0745
(612) 333-5614
Mailing address
5600 CAMERATA WAY UNIT 220, ST LOUIS PARK, MN 55416-5284
(612) 616-4633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
569
MN
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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