Individual
KATIE ELIZABETH LEUNING-PAVEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1657 INTERLAKEN CT, WACONIA, MN 55387
(612) 799-4298
Mailing address
1657 INTERLAKEN CT, WACONIA, MN 55387
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2229
MN
Other
Enumeration date
10/18/2013
Last updated
12/14/2015
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