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Individual

DANA FOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
821 RAYMOND AVE STE 220, SAINT PAUL, MN 55114-1525
(612) 605-6575
Mailing address
821 RAYMOND AVE STE 220, SAINT PAUL, MN 55114-1525
(612) 605-6575

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2848
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
813750100
MN
Enumeration date
02/17/2007
Last updated
01/23/2019
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