Individual
LAURA KAY ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1000
Mailing address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3461
MN
Other
Enumeration date
06/20/2018
Last updated
11/07/2025
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