HEATHER BODURTHA

NEW BRIGHTON, MN
NPI1679774673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  LP4705)
Enumeration Date2007-05-29
Last Update Date2012-10-10
Business Address
-- HEATHER BODURTHA
1900 SILVER LAKE RD NW 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566
Mailing Address
-- HEATHER BODURTHA
1900 SILVER LAKE RD NW 110
NEW BRIGHTON, MN 55112-1786
Phone number:
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