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Individual

LEAH FARGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
275 4TH ST E STE 301, SAINT PAUL, MN 55101-1771
(651) 318-0109
Mailing address
3418 44TH AVE S, MINNEAPOLIS, MN 55406-2902
(612) 770-3250

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary

Other

Enumeration date
08/14/2023
Last updated
08/14/2023
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