Individual
MARILYN JO BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
17305 CEDAR AVE S, SUITE 230, LAKEVILLE, MN 55044-3901
(952) 435-4144
(952) 435-4149
Mailing address
4795 137TH ST W, APPLE VALLEY, MN 55124-8794
(952) 322-4543
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3826
FM
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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