Individual
ANNE M CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11188 ZEALAND AVE N, CHAMPLIN, MN 55316-3594
(612) 991-8949
Mailing address
11925 CENTRAL AVE NE, BLAINE, MN 55434-3911
(763) 746-0842
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4125
MN
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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