Individual
DR. LARAINE PATRICIA KURISKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
4005 WEST 65TH STREET, SUITE 104, EDINA, MN 55435
(952) 926-2424
(952) 926-3454
Mailing address
18664 OVERLAND TRAIL, EDEN PRAIRIE, MN 55347-4186
(952) 974-3764
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4466
MN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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