Individual
MRS. JODI ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
1875 STATION PKWY NW, ANDOVER, MN 55304
(763) 482-9598
Mailing address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2031
MN
Other
Enumeration date
06/21/2010
Last updated
11/04/2020
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