Individual
ELISABETH RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1906 5TH AVE SE, LITTLE FALLS, MN 56345-3317
(320) 632-6647
Mailing address
11463 165TH ST, LITTLE FALLS, MN 56345-4144
(847) 772-5436
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3412
MN
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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