Individual
SANDRA GERMAIN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2714 HIGHWAY 88, SAINT ANTHONY, MN 55418-3266
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3714
MN
Other
Enumeration date
04/06/2007
Last updated
04/08/2024
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