Individual
STACY A PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAMFT
Contact information
Practice address
6607 18TH AVE S, SUITE 201, RICHFIELD, MN 55423-2784
(612) 455-4040
(612) 455-4041
Mailing address
6607 18TH AVE S, SUITE 201, RICHFIELD, MN 55423-2784
(612) 455-4040
(612) 455-4041
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2107
MN
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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