Individual
MISS CONSTANCE MARIE DUMMER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LP, LMFT, RPT-S
Contact information
Practice address
6120 EARLE BROWN DR, SUITE #200, BROOKLYN CENTER, MN 55430-2123
(763) 566-0088
(763) 566-0089
Mailing address
6120 EARLE BROWN DR, SUITE #200, BROOKLYN CENTER, MN 55430-2123
(763) 566-0088
(763) 566-0089
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3364
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP3364
STATE LICENSE #
MN
Enumeration date
04/10/2006
Last updated
07/08/2007
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