Individual
KAREN LETA GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036
Mailing address
901 18 1/2 AVE NE, MINNEAPOLIS, MN 55418-4522
(612) 220-4610
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3772
MN
221700000X
Art Therapist
18-345
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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