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Individual

DR. JENNIFER PUIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2500
Mailing address
1313 PENN AVE. N, MINNEAPOLIS, MN 55411
(612) 543-2500

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103TC2200X
Clinical Child & Adolescent Psychologist

Other

Enumeration date
08/05/2016
Last updated
09/27/2016
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