Individual
GARY R SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
11141 ZEALAND AVE N, CHAMPLIN, MN 55316
(763) 291-7065
Mailing address
13879 BLUEBIRD ST NW, ANDOVER, MN 55304-4050
(763) 757-8855
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2392
MN
Other
Enumeration date
05/14/2007
Last updated
07/09/2018
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