Individual
MISS ASUKA MIZOBUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
381 EAST ROBIE STREET, ST. PAUL, MN 55107-2415
(651) 222-0757
(651) 290-2703
Mailing address
381 EAST ROBIE STREET, ST. PAUL, MN 55107-2415
(651) 222-0757
(651) 290-2703
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2167
MN
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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