Individual
KELLY M SPANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 COUNTY ROAD 101 N, PLYMOUTH, MN 55446-2307
(952) 993-8900
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12306
NE
103T00000X
Psychologist
Primary
LP6848
MN
Other
Enumeration date
09/16/2020
Last updated
02/09/2024
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