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Individual

JUDITH PARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
451 LEXINGTON PKWY N, SAINT PAUL, MN 55104-4636
(651) 280-2310
(651) 280-3995
Mailing address
849 LINWOOD AVE, SAINT PAUL, MN 55105-3325

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
183357000
MEDICAL ASSISTANCE
MN
Enumeration date
11/21/2006
Last updated
04/28/2017
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