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Individual

MS. THERESA MARIE VOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., L.P.

Contact information

Practice address
821 RAYMOND AVE STE 100, SAINT PAUL, MN 55114-1525
(651) 251-0369
(651) 251-3072
Mailing address
5415 COLUMBUS AVE, MINNEAPOLIS, MN 55417-2432
(612) 823-1203

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP1178
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104441
UCARE
MN
01
3H758VO AND 3H757VO
BLUE CROSS BLUE SHIELD
MN
01
6263293
MEDICA
MN
Enumeration date
05/02/2007
Last updated
07/09/2007
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