Individual
MS. SARA MARIE ANTONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(952) 975-8264
Mailing address
7610 PENN AVE S APT 251, RICHFIELD, MN 55423-3681
(952) 393-8047
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3627
MN
106H00000X
Marriage & Family Therapist
LF60686286
WA
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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