Individual
MARK S TRAXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LP
Contact information
Practice address
88 S PARK AVE, LE CENTER, MN 56057-1600
(507) 357-8288
Mailing address
88 S PARK AVE, LE CENTER, MN 56057-1600
(507) 357-8288
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3579
MN
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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