Individual
DEBRA LOUISE MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
60 MARIE AVE E STE 119, SAINT PAUL, MN 55118-5943
(651) 552-9071
(651) 552-9874
Mailing address
4103 145TH ST W, ROSEMOUNT, MN 55068-4107
(651) 423-6287
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1492
MN
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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