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Individual

DANIEL CHARLES REBEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, LP

Contact information

Practice address
3460 WASHINGTON DR STE 200, EAGAN, MN 55122-4302
(651) 769-6200
(651) 769-6249
Mailing address
2497 7TH AVE E STE 101, NORTH SAINT PAUL, MN 55109-2946
(651) 769-6437
(651) 769-6449

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5755
MN

Other

Enumeration date
09/04/2018
Last updated
09/04/2018
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