Individual
LARA T COLLINS ASMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
200 4TH AVE W # 300, SHAKOPEE, MN 55379-1220
(952) 445-7751
Mailing address
200 4TH AVE W STE 300, SHAKOPEE, MN 55379-1220
(952) 496-8821
(952) 496-8355
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3631
MN
Other
Enumeration date
03/20/2018
Last updated
01/18/2019
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