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Individual

MS. LAURA ANN JAAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., L.P.

Contact information

Practice address
12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343-4157
(952) 999-6097
(952) 426-0508
Mailing address
12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343-4157
(952) 999-6097
(952) 426-0508

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP3786
MN
103TC1900X
Counseling Psychologist
Primary
3786
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033193172
MN
05
946324100
MN
Enumeration date
12/02/2005
Last updated
12/01/2017
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