Individual
MARY LOUISE HARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
3100 W LAKE ST, #320, MINNEAPOLIS, MN 55416-4527
(612) 922-6578
(612) 929-9006
Mailing address
2775 THOMAS AVE S, MINNEAPOLIS, MN 55416-4346
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
LP4420
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080939000
—
MN
Enumeration date
11/06/2006
Last updated
06/04/2010
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