Individual
LAUREL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
4453 ABBOTT AVE S, LOWER, MINNEAPOLIS, MN 55410-1444
(612) 834-1767
Mailing address
4453 ABBOTT AVE S, LOWER, MINNEAPOLIS, MN 55410-1444
(612) 245-2916
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1258
MN
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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