Individual
MRS. LAURA MARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
116 CHESTNUT ST E, SUITE 400, STILLWATER, MN 55082-5116
(651) 344-6204
(651) 344-4949
Mailing address
116 CHESTNUT ST E, SUITE 400, STILLWATER, MN 55082-5116
(651) 344-6204
(651) 344-4949
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1496
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295836559
—
MN
Enumeration date
09/26/2006
Last updated
02/17/2010
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