Individual
MARJORIE ANN VAN SLYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4021 VERNON AVE S, ST LOUIS PARK, MN 55416-2801
(952) 927-4609
Mailing address
4021 VERNON AVE S, ST LOUIS PARK, MN 55416-2801
(952) 927-4609
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00004
MN
Other
Enumeration date
10/24/2008
Last updated
04/14/2015
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