Individual
LAYNE TICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 19TH AVE NE, MINNEAPOLIS, MN 55418-4350
(847) 970-8193
Mailing address
341 19TH AVE NE, MINNEAPOLIS, MN 55418-4350
(847) 970-8193
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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