Individual
NICOLE GRAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,LMFT
Contact information
Practice address
11334 86TH AVE N, MAPLE GROVE, MN 55369-4528
(763) 255-2125
(763) 255-2126
Mailing address
11334 86TH AVE N, MAPLE GROVE, MN 55369-4528
(763) 255-2125
(763) 255-2126
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1824
MN
Other
Enumeration date
08/04/2010
Last updated
01/11/2011
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