Individual
MS. ANNIE MARIE STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1101 E 78TH ST STE 100, BLOOMINGTON, MN 55420-1402
(529) 854-5034
(952) 854-5363
Mailing address
1900 SILVER LK RD., NEW BRIGHTON, MN 55112
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
158615
CA
Other
Enumeration date
03/23/2010
Last updated
01/02/2026
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