Individual
KELLY DIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAMFT
Contact information
Practice address
1500 MCANDREWS RD W, SUITE 215, BURNSVILLE, MN 55337-4432
(612) 267-9554
Mailing address
1500 MCANDREWS RD W, SUITE 215, BURNSVILLE, MN 55337-4432
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2094
MN
Other
Enumeration date
10/12/2010
Last updated
10/12/2010
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