Organization
BOOST LEARNING ENRICHMENT PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE K WOLFSON LMFT (PRESIDENT)
(612) 382-8651
Entity
Organization
Contact information
Practice address
1601 HIGHWAY 13 E, SUITE 209, BURNSVILLE, MN 55337-6865
(952) 807-1081
Mailing address
1601 HIGHWAY 13 E, SUITE 209, BURNSVILLE, MN 55337-6865
(952) 807-1081
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1473
MN
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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