Individual
AUDREY ELISSA BRANDT LOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LP
Contact information
Practice address
16 9TH ST SE, LONG PRAIRIE, MN 56347-1429
(320) 732-6602
(320) 732-6581
Mailing address
16 9TH ST SE, LONG PRAIRIE, MN 56347-1429
(320) 732-6602
(320) 732-6581
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 4917
MN
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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