Individual
SAMUEL DAVID TOSTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4711 BALD EAGLE AVE, WHITE BEAR LAKE, MN 55110-3156
(651) 587-7145
Mailing address
4711 BALD EAGLE AVE, WHITE BEAR LAKE, MN 55110-3156
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2697
MN
Other
Enumeration date
07/09/2017
Last updated
07/09/2017
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