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Individual

MRS. MICHELE MARIE LANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
7236 FORESTVIEW LN N, SUITE 3205, MAPLE GROVE, MN 55369-5501
(612) 419-8461
(763) 425-6597
Mailing address
7236 FORESTVIEW LN N, SUITE 3205, MAPLE GROVE, MN 55369-5501
(612) 419-8461
(763) 425-6597

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1188
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
693 G0AJ
BLUE CROSS BLUE SHIELD
MN
01
HP 43552
HEALTHPARTNERS
MN
Enumeration date
12/29/2006
Last updated
07/08/2007
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