Individual
MRS. STACIE LYNNE CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
6420 W LAKE ST, ST. LOUIS PARK, MN 55426
(651) 271-4963
(952) 926-6738
Mailing address
3017 FLORIDA AVE S, ST. LOUIS PARK, MN 55426
(651) 271-4963
(952) 926-6738
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
326624-00
MN
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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