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Individual

STACY BLAKE NUNNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LAMFT, RN

Contact information

Practice address
600 W 78TH ST STE 10B, CHANHASSEN, MN 55317-9585
(952) 215-5208
(888) 974-6441
Mailing address
PO BOX 892, CHANHASSEN, MN 55317-0892
(952) 215-5208
(888) 974-6441

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2803
MN
163W00000X
Registered Nurse
R-110685-1
MN

Other

Enumeration date
02/13/2015
Last updated
02/13/2015
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