Individual
DR. SALLY IRENE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, PHD
Contact information
Practice address
110 1ST ST E, JORDAN, MN 55352-1502
(952) 451-3660
(952) 582-1666
Mailing address
110 1ST ST E, JORDAN, MN 55352-1502
(952) 451-3660
(952) 582-1666
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1739
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558414136
—
MN
Enumeration date
01/19/2007
Last updated
12/11/2024
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