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Individual

MICHELLE LINNIHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA,LP

Contact information

Practice address
540 FAIRVIEW AVE N, SUITE 302, SAINT PAUL, MN 55104-1753
(651) 645-5372
(651) 645-0064
Mailing address
540 FAIRVIEW AVE N, SUITE 302, SAINT PAUL, MN 55104-1753
(651) 645-5372
(651) 645-0064

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3962
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432688100
MN
Enumeration date
09/15/2006
Last updated
02/12/2014
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