Individual
JULIA PEARL RAISANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 THIELEN DR, SAINT MICHAEL, MN 55376-9613
(651) 315-6270
Mailing address
7675 84TH AVE N, ROCKFORD, MN 55373-8415
(651) 315-6270
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4430
MN
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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