Individual
EMILY DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
7600 143RD ST W STE 300, APPLE VALLEY, MN 55124-5529
(952) 356-5632
Mailing address
7273 KITTREDGE CIR, OTSEGO, MN 55301-4725
(952) 356-5632
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2645
MN
Other
Enumeration date
12/12/2014
Last updated
03/17/2018
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