Individual
LESLEY PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5710 BAKER ROAD, MINNETONKA, MN 55343
(952) 767-4200
Mailing address
3031 MCKINLEY STREET NE, MINNEAPOLIS, MN 55418
(612) 207-6152
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
41-184-7652
MN
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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