Autism Family Therapy INC

NPI #1194101212 in Plymouth, Minnesota

Provider Information

NPI Number: 1194101212
Entity Type: Organization
Organization Name: Autism Family Therapy INC
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Jul 31, 2015
Last Updated: Jul 31, 2015

Practice Location

Address: 12805 HIGHWAY 55
Address 2: SUITE 402
City: Plymouth
State: Minnesota
ZIP Code: 55441-3859
Phone: (612) 597-0459

Authorized Official

Name: MS. TAMARA FAYE PHILLIPS, MA, LMFT
Title: PRESIDENT
Phone: (612) 597-0459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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