Individual
AMY T MADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT FAMI
Contact information
Practice address
12800 INDUSTRIAL PARK BLVD STE B50, PLYMOUTH, MN 55441-3905
(612) 219-1449
(612) 216-0984
Mailing address
12800 INDUSTRIAL PARK BLVD STE B50, PLYMOUTH, MN 55441-3905
(612) 216-0984
(612) 216-0984
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2263
MN
Other
Enumeration date
05/29/2012
Last updated
01/17/2019
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