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Individual

JODI RENEE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LP

Contact information

Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(320) 249-5602
Mailing address
2531 43RD AVE S, SAINT CLOUD, MN 56301-5493
(320) 249-5602

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3298
MN

Other

Enumeration date
10/11/2020
Last updated
10/11/2020
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