Individual
BARBARA JANE WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
4123 E LAKE ST, MINNEAPOLIS, MN 55406-2255
(612) 729-0340
Mailing address
2645 RALEIGH AVE, MINNEAPOLIS, MN 55416-1909
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1230
MN
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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