Individual
MANDIE BOLTON KENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 LIVINGSTON AVE, WEST SAINT PAUL, MN 55118-3912
(651) 457-2248
Mailing address
11 MARQUETTE AVE, #601, MINNEAPOLIS, MN 55401
(612) 232-4321
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
179584
MN
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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