Individual
MIRIAM WHITNEY CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1000 COUNTY ROAD E W, SHOREVIEW, MN 55126-8054
(612) 254-5963
Mailing address
3790 VAN DYKE ST, WHITE BEAR LAKE, MN 55110-4740
(612) 280-6239
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3738
MN
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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