Individual
GERARD LAWRENCE LAFAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
58826 OTTER DR, HINCKLEY, MN 55037-5355
(612) 240-7647
(320) 384-6799
Mailing address
58826 OTTER DR, HINCKLEY, MN 55037-5355
(612) 240-7647
(320) 384-6799
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12345
MN
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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