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Individual

KATHERINE ANN PATRAS LEGUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.M.F.T.

Contact information

Practice address
7580 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 898-1133
Mailing address
2115 COUNTY ROAD D E, SUITE B, MAPLEWOOD, MN 55109-5353
(651) 748-5019
(651) 773-7591

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1448
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
275226
COMPSYCH EAP
MN
01
390K1PA
BLUE CROSS BLUE SHIELD
MN
05
766181900
MN
01
HP65335
HEALTH PARTNERS
MN
Enumeration date
12/05/2006
Last updated
05/19/2020
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