Organization
LORIE CRANDALL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE CRANDALL LMFT (OWNER, LMFT)
(612) 321-8405
Entity
Organization
Contact information
Practice address
7701 GOLDEN VALLEY RD # 27066, MINNEAPOLIS, MN 55427-9998
(612) 321-8405
Mailing address
7701 GOLDEN VALLEY RD # 27066, MINNEAPOLIS, MN 55427-9998
(612) 321-8405
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124539671
—
MN
Enumeration date
09/07/2024
Last updated
11/09/2024
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