Organization
EXPANDING CIRCLES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM CORNELL MA LMFT (OWNER)
(612) 254-5963
Entity
Organization
Contact information
Practice address
1000 COUNTY ROAD E W STE 142, SHOREVIEW, MN 55126-8027
(612) 254-5963
Mailing address
3790 VAN DYKE ST, WHITE BEAR LAKE, MN 55110-4740
(612) 254-5963
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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