Individual
LAURA JEANNE NIEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
4317 UPTON AVE S, SUITE C, MINNEAPOLIS, MN 55410-1539
(612) 929-1500
(612) 929-1500
Mailing address
4317 UPTON AVE S, SUITE C, MINNEAPOLIS, MN 55410-1539
(612) 929-1500
(612) 929-1500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1216
MN
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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