Individual
RANDI KRISTIN BORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.M.F.T.
Contact information
Practice address
821 RAYMOND AVE, SAINT PAUL, MN 55114-1503
(763) 412-8013
Mailing address
10515 40TH AVE N, PLYMOUTH, MN 55441-1531
(763) 546-9137
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1452
MN
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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