Judith Louise Ross Agustin, M.S., LMFT
NPI #1003195082 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1003195082
- Entity Type
- Individual
- Name
- Judith Louise Ross Agustin, M.S., LMFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- M.S., LMFT
- Enumeration Date
- Aug 9, 2011
- Last Updated
- Jun 10, 2019
Practice Location
- Address
- 8100 PENN AVE S STE 150H
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-1346
- Phone
- (612) 314-6012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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