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Individual

CARLO A. GIACOMONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
2984 RICE ST, LITTLE CANADA, MN 55113-2230
(651) 314-4350
Mailing address
2984 RICE ST, LITTLE CANADA, MN 55113-2230
(651) 314-4350

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2779
WI
103T00000X
Psychologist
Primary
5506
MN

Other

Enumeration date
12/08/2008
Last updated
10/30/2017
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