Individual
MARIE GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
357 KELLOGG BLVD E, SAINT PAUL, MN 55101-1411
(612) 578-2167
Mailing address
357 KELLOGG BLVD E, SAINT PAUL, MN 55101-1411
(612) 578-2167
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2916
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568876381
—
MN
Enumeration date
06/19/2014
Last updated
06/28/2021
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