Individual
STACIE L JONCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
819 2ND AVE S, MINNEAPOLIS, MN 55402-2808
(612) 204-8335
(612) 332-5319
Mailing address
819 2ND AVE S, MINNEAPOLIS, MN 55402-2808
(612) 204-8335
(612) 332-5319
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3053
MN
Other
Enumeration date
03/22/2007
Last updated
03/26/2019
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