Organization
LIFE ROADS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON ROSE FRIES LMFT (OWNER)
(651) 230-0492
Entity
Organization
Contact information
Practice address
1068 LAKE ST S, SUITE 109, FOREST LAKE, MN 55025-2639
(651) 230-0492
(651) 982-6035
Mailing address
1068 LAKE ST S, SUITE 109, FOREST LAKE, MN 55025-2639
(651) 230-0492
(651) 982-6035
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0938
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1601130-00
—
MN
Enumeration date
04/13/2007
Last updated
10/24/2012
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