Jome, Larae M

Jome, Larae M is an sole proprietor health care provider with primary practice located at 7026 E Fish Lake Rd , Maple Grove MN 55311-2832. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Jome, Larae M can be contacted via phone (763) 772-6272.

Contact Information

Primary practice address
7026 E Fish Lake Rd Maple Grove MN 55311-2832
Phone: (763) 772-6272
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 015031 New York
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP5850 Minnesota

Profile Details

NPI number 1699016113
LBN Legal business name Jome, Larae M
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2013
Last updated Jun 7th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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