Individual
DR. HEIDI JO MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
701 W 6TH ST, GRAFTON, ND 58237-1379
(701) 352-4335
Mailing address
52 WILLOW CT, GRAFTON, ND 58237-2041
(651) 303-5944
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
448
ND
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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