Individual
LYDIA MUSIIMENTA HEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 LONG LAKE RD, NEW BRIGHTON, MN 55112-6428
(612) 900-0233
Mailing address
6708 ZEALAND AVE N, MINNEAPOLIS, MN 55428-1934
(952) 465-8607
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MN
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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