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Individual

AMY MARIE MARKUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/26/2021
Last updated
05/26/2021
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