Individual
DONNA JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
702 HEATHER DR, SHOREVIEW, MN 55126-3116
(651) 274-0949
Mailing address
702 HEATHER DR, SHOREVIEW, MN 55126-3116
(651) 274-0949
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2254
MN
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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