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1598478851
MELISSA J FORTH
MINNEAPOLIS, MN
NPI
1598478851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MN 4172)
Enumeration Date
2023-01-03
Last Update Date
2024-02-25
Business Address
MELISSA J FORTH JD, MA, LPCC
LYNLAKE BUILDING 621 WEST LAKE STREET, SUITE 350
MINNEAPOLIS, MN 55408
Phone number: 612-865-5314
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Mailing Address
MELISSA J FORTH JD, MA, LPCC
5300 FILLMORE ST NE
FRIDLEY, MN 55421-1305
Phone number: 612-865-5314
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