Individual
KELSEY SCAMPOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 ENERGY PARK DR STE 340, SAINT PAUL, MN 55108-5298
(651) 646-8985
Mailing address
1360 ENERGY PARK DR STE 340, SAINT PAUL, MN 55108-5298
(651) 646-8985
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP6031
MN
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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