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Individual

DR. CLARE N BUNTROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
10275 WAYZATA BLVD, #270, MINNETONKA, MN 55305-1659
(952) 401-9317
(952) 470-2229
Mailing address
10275 WAYZATA BLVD, #270, MINNETONKA, MN 55305-1659
(952) 401-9317
(952) 470-2229

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3140
MN

Other

Enumeration date
09/28/2009
Last updated
09/28/2009
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