Individual
MRS. LAURA LIL BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CTRS
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3853
Mailing address
4880 MAYER AVE NE, SAINT MICHAEL, MN 55376-9514
(763) 428-8265
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
45901
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45901
NCTRC
MN
Enumeration date
09/25/2006
Last updated
07/08/2007
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