Individual
MS. LAURA MARIE DE THIER-LUPORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LADC
Contact information
Practice address
1145 SHENANDOAH LANE, PLYMOUTH, MN 55447
(612) 596-9198
(612) 321-3807
Mailing address
1911 PLEASANT AVE, MINNEAPOLIS, MN 55403
(612) 596-9198
(612) 321-3807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303646
MN
Other
Enumeration date
09/25/2013
Last updated
01/09/2015
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