Individual
LILIA IMGRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(763) 482-9598
Mailing address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(651) 308-8273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
11/15/2022
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