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Individual

MRS. FATEN F KHOURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
1499 BROOKS AVE E, MAPLEWOOD, MN 55109-2012
(651) 206-8646
(651) 206-8646
Mailing address
1499 BROOKS AVE E, MAPLEWOOD, MN 55109-2012
(651) 206-8646
(651) 206-8646

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1371
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
710095000
MHCP
MN
Enumeration date
04/03/2007
Last updated
05/13/2025
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