Organization
VISION DREAMWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE MARY LAFFERTY BOERBOOM MALP (PSYCHOLOGIST)
(612) 998-6787
Entity
Organization
Contact information
Practice address
415 N 1ST ST, #502, MINNEAPOLIS, MN 55401-4305
(612) 998-6787
(612) 333-9664
Mailing address
415 N 1ST ST, #502, MINNEAPOLIS, MN 55401-4305
(612) 998-6787
(612) 333-9664
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP3481
MN
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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