Individual
KRISTIN K GORACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4133 IOWA ST, ALEXANDRIA, MN 56308-3316
(320) 762-8851
(651) 925-0057
Mailing address
7066 STILLWATER BLVD N, SAINT PAUL, MN 55128-3937
(651) 295-7474
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2540
MN
Other
Enumeration date
12/01/2011
Last updated
06/21/2019
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