Individual
ANNE TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4500 PARK GLEN RD STE 150, SAINT LOUIS PARK, MN 55416-2605
(612) 387-1797
(612) 460-0915
Mailing address
4810 FARMSTEAD DR, MONTICELLO, MN 55362-8441
(612) 387-1797
(612) 460-0915
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1908
MN
Other
Enumeration date
03/16/2009
Last updated
04/18/2014
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