Individual
MRS. CARMEN GLORIA SORIANO BRUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAMFT
Contact information
Practice address
804 LAKE ST E, SUITE 204, WAYZATA, MN 55391-1980
(763) 269-2214
Mailing address
16210 39TH PL N, PLYMOUTH, MN 55446-1354
(763) 694-0380
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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