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Individual

SONG LOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
379 UNIVERSITY AVE W STE 201, SAINT PAUL, MN 55103-2060
(651) 246-4722
(651) 739-9459
Mailing address
379 UNIVERSITY AVE W STE 201, SAINT PAUL, MN 55103-2060
(651) 246-4722
(651) 739-9459

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1286
MN

Other

Enumeration date
12/19/2006
Last updated
07/09/2007
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