Individual
KEELY MORTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1811 WEIR DR STE 355, MAIL STOP 13701A, WOODBURY, MN 55125-2273
(651) 254-8580
(651) 730-1700
Mailing address
1811 WEIR DR STE 355, MAIL STOP 13701A, WOODBURY, MN 55125-2273
(651) 254-8580
(651) 730-1700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1465
MN
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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