Individual
MRS. AMANDA JOAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5009 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-3041
(952) 484-3290
Mailing address
5009 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-3041
(952) 484-3290
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2344
MN
Other
Enumeration date
03/18/2013
Last updated
03/18/2013
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