Individual
MARTA MARIE TOLEFREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9309 6TH STREET CT N, LAKE ELMO, MN 55042-4120
(651) 235-6962
Mailing address
9309 6TH STREET CT N, LAKE ELMO, MN 55042-4120
(651) 235-6962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
20345
MN
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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