Individual
DR. MATANA LEVIA MORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7525 4TH AVE, SOTP, LINO LAKES, MN 55014-1006
(651) 717-6642
Mailing address
PO BOX 141139, MINNEAPOLIS, MN 55414-6139
(651) 334-9561
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3378
MN
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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