Individual
KATHRINE LINN BRATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, L.P.
Contact information
Practice address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036
Mailing address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5212
MN
Other
Enumeration date
05/25/2007
Last updated
10/04/2011
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