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Individual
DR. JEANNE M ALLEN
Active
Individual
DR. JEANNE M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.,L.P.,R.N.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP3166
MN
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R077626-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872525000
—
MN
Enumeration date
11/09/2005
Last updated
02/10/2021
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