Individual
MS. CAROL RUTH TELLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
8700 W 36TH ST, SUITE #214, ST LOUIS PARK, MN 55426-3906
(952) 484-4309
(952) 922-0845
Mailing address
8700 W 36TH ST, SUITE #214, ST LOUIS PARK, MN 55426-3906
(952) 484-4309
(952) 922-0845
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2572
MN
Other
Enumeration date
05/17/2011
Last updated
12/05/2014
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