Individual
MR. EUGENE JOSEPH AUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5861 CEDAR LAKE RD S, MINNEAPOLIS, MN 55416-1653
(763) 541-1393
Mailing address
5861 CEDAR LAKE RD S, MINNEAPOLIS, MN 55416-1653
(763) 541-1393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0448
MN
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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