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Individual

LINDA ODRISCOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMFT

Contact information

Practice address
1101 E 78TH STREET, SUITE 100, BLOOMINGTON, MN 55431
(952) 854-5034
(952) 854-5363
Mailing address
1900 SILVER LAKE ROAD NW, SUITE 110, NEW BRIGHTON, MN 55112
(651) 379-1718
(651) 379-1738

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3291
MN

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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