Individual
DEAN GORALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LMFT
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1270
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103858
UC
MN
01
—
1043347
P1
MN
01
—
399K0GO
BCBS
MN
01
—
47669
HP
MN
Enumeration date
07/14/2006
Last updated
07/08/2007
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