Individual
MS. JOANNA MARIE DIEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4500 PARK GLEN RD STE 155, ST LOUIS PARK, MN 55416-4888
(612) 405-4057
Mailing address
4247 XENIA AVE N, CRYSTAL, MN 55422-1644
(763) 213-5752
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3846
MN
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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