Individual
LAXEE THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 WASHINGTON AVE S STE 102, MINNEAPOLIS, MN 55415-1281
(612) 314-0349
Mailing address
1100 WASHINGTON AVE S STE 102, MINNEAPOLIS, MN 55415-1281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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