Individual
MS. MARY JO ANN POGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
6950 FRANCE AVE SO, SUITE 103, EDINA, MN 55435
(952) 922-9032
Mailing address
4168 CASHELL GLEN, EAGAN, MN 55122
(651) 686-9081
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1834
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83A55PO
BLUE CROSS
—
Enumeration date
01/17/2007
Last updated
07/08/2007
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