Individual
JENNIFER ANN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
35 LAKE STREET SOUTH #200, BIG LAKE, MN 55309
(763) 263-7896
(763) 263-7897
Mailing address
3910 BAKER RD, MINNETONKA, MN 55305-4904
(952) 237-0344
(763) 263-7897
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1631
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231917000
—
MN
Enumeration date
04/23/2007
Last updated
07/09/2007
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