Individual
SOO Y MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1056 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-6360
(651) 604-7771
(651) 426-8116
Mailing address
1056 CENTERVILLE CIR, VADNAIS HEIGHTS, MN 55127-6360
(651) 604-8116
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2209
MN
Other
Enumeration date
12/29/2011
Last updated
11/26/2014
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