Individual
LEAH BOGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(952) 939-0396
Mailing address
361 CHARLES AVE, SAINT PAUL, MN 55103-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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