Individual
KAITLYN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
4124 21ST AVE S, MINNEAPOLIS, MN 55407-3074
(165) 126-0632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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