Individual
MR. RUSSELL THOMAS ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
3429 44TH AVE S, MINNEAPOLIS, MN 55406-2901
(651) 343-1851
Mailing address
3429 44TH AVE S, MINNEAPOLIS, MN 55406-2901
(651) 343-1851
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1534
MN
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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