Lakeville Family Therapy

NPI #1114268943 in Lakeville, Minnesota

Provider Information

NPI Number
1114268943
Entity Type
Organization
Organization Name
Lakeville Family Therapy
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 4, 2013
Last Updated
Mar 4, 2013

Practice Location

Address
17595 KENWOOD TRL
Address 2
SUITE 210
ZIP Code
55044-9226
Phone
(612) 750-0263

Authorized Official

Name
KATHLEEN MARIE KELLY, MSW, LICSW
Title
OWNER
Phone
(612) 750-0263

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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