Individual
SANDRA JO-MCMENEMY MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSC
Contact information
Practice address
7645 W 85TH ST, BLOOMINGTON, MN 55438-1308
(612) 616-3607
Mailing address
7645 W 85TH ST, BLOOMINGTON, MN 55438-1308
(612) 616-3607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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