Individual
STACEY BRANDJORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 E RIVER PKWY, MINNEAPOLIS, MN 55414-3604
(612) 365-8400
Mailing address
2025 E RIVER PKWY, MINNEAPOLIS, MN 55414-3604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP7018
MN
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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