Individual
BRUCE A. BEAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1111 HIGHWAY 73, MOOSE LAKE, MN 55767-9452
(218) 565-6055
Mailing address
1111 HIGHWAY 73, MOOSE LAKE, MN 55767-9452
(218) 565-6055
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1548
MN
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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