Individual
JILL SUZANNE RABINOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
15843 50TH AVE N, PLYMOUTH, MN 55446-3471
(763) 519-8000
Mailing address
15843 50TH AVE N, PLYMOUTH, MN 55446-3471
(763) 519-8000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
08/19/2010
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