Individual
JEANNIE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3754 PLEASANT AVE # 424W, MINNEAPOLIS, MN 55409-1277
(763) 342-0104
Mailing address
3754 PLEASANT AVE # 424W, MINNEAPOLIS, MN 55409-1277
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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