Individual
HEATHER AMY PENM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
1519 CENTRAL PKWY STE 260, EAGAN, MN 55121-2488
(651) 212-4920
Mailing address
1519 CENTRAL PKWY STE 260, EAGAN, MN 55121-2488
(651) 212-4920
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3769
MN
Other
Enumeration date
03/24/2023
Last updated
02/05/2024
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