NPI 1275856692
Stacy a Proulx, MALAMFT
Practice location
- Address
- 6607 18th Ave S Suite 201, Richfield, MN 55423-2784
- Phone
- (612) 455-4040
- Fax
- (612) 455-4041
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1275856692
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Mar 2010
- Record last updated
- 12 Mar 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.