Individual
SUSAN CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 746-2522
Mailing address
2947 WYNDAM CT, SHAKOPEE, MN 55379-5440
(763) 807-3949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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