Individual
JANE STEWART ROZNOVSKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
5706 HYLAND COURTS DR, BLOOMINGTON, MN 55437-1933
(952) 893-1155
Mailing address
PO BOX 65, MUSE, OK 74949-0065
(918) 651-3570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0308
MN
Other
Enumeration date
06/06/2006
Last updated
07/09/2007
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