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Individual

DR. MARIA CARDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3333UNIVERISTY AVE SE, FRASER, MINNESPOLIS, MN 55414
(651) 357-8404
Mailing address
P.O. BOX 353, BRAINERD, MN 56401
(651) 357-8404

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5173
MN
103TS0200X
School Psychologist
399967
MN

Other

Enumeration date
01/12/2010
Last updated
01/12/2010
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