Individual
MRS. MARY KATHLEEN GOSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., REV.
Contact information
Practice address
10800 LYNDALE AVE S, SUITE 191, BLOOMINGTON, MN 55420-5614
(952) 884-5803
Mailing address
16099 NORTHWOOD RD NW, PRIOR LAKE, MN 55372-1612
(952) 212-1756
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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