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Individual

MS. JUDITH ANN DRISCOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.F.T.

Contact information

Practice address
199 COON RAPIDS BLVD NW, SUITE 306, COON RAPIDS, MN 55433-5831
(763) 780-1520
(763) 780-2114
Mailing address
1896 WALTER ST, MAPLEWOOD, MN 55109-4220
(651) 793-9495

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1414
MN

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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