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Individual

STEPHANIE FISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
3833 COON RAPIDS BLVD NW, SUITE 120, COON RAPIDS, MN 55433-2643
(763) 767-3350
(767) 767-0912
Mailing address
3833 COON RAPIDS BLVD NW, SUITE 120, COON RAPIDS, MN 55433-2643
(763) 767-3350
(767) 767-0912

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3263
MN

Other

Enumeration date
05/09/2016
Last updated
05/09/2016
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