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Individual

FARREN GRACE SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
8120 PENN AVE S STE 400, BLOOMINGTON, MN 55431-1311
(800) 336-5973
(612) 234-4689
Mailing address
8120 PENN AVE S STE 400, BLOOMINGTON, MN 55431-1311
(800) 336-5973
(612) 234-4689

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/10/2011
Last updated
10/03/2019
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