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Individual

MRS. CARISSA ELIZABETH STEPAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD, LP

Contact information

Practice address
1751 TOWER DR W STE 200, STILLWATER, MN 55082-7596
(651) 439-2059
(888) 675-8262
Mailing address
588 101ST AVE N, NAPLES, FL 34108-3201
(651) 439-2059
(888) 675-8262

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5209
MN

Other

Enumeration date
01/08/2010
Last updated
11/05/2020
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