Individual
DR. LAURIE LYNN KINCADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP, NCSP
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 308-7435
Mailing address
17715 KEYSTONE AVE, LAKEVILLE, MN 55044-9366
(612) 308-7435
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP6741
MN
Other
Enumeration date
08/29/2022
Last updated
10/12/2022
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