Individual
GIA PLATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
610 FLORENCE AVE, OWATONNA, MN 55060
(507) 451-2630
(507) 455-8133
Mailing address
610 FLORENCE AVE, OWATONNA, MN 55060
(507) 451-2630
(507) 455-8133
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2689
MN
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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