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Individual

SUSAN ELIZABETH SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7040 LAKELAND AVE N, 208, BROOKLYN PARK, MN 55428-5600
(763) 560-8331
Mailing address
7040 LAKELAND AVE N, 208, BROOKLYN PARK, MN 55428-5600
(763) 560-8331

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1589
MN

Other

Enumeration date
05/12/2008
Last updated
05/12/2008
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