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Individual

DR. LYNSEY R MIRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LP

Contact information

Practice address
5838 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN 55076
(651) 497-4432
(651) 455-4811
Mailing address
5838 BLACKSHIRE PATH, INVER GROVE HEIGHTS, MN 55076-1607
(651) 455-4811

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6193
MN

Other

Enumeration date
05/08/2018
Last updated
05/31/2018
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