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Individual

DR. MARY KIM HELLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD LP

Contact information

Practice address
1900 CENTRACARE CIRCLE, ST CLOUD, MN 56303
(320) 229-4945
(320) 229-5109
Mailing address
1406 6TH AVE N, ST CLOUD, MN 56303
(320) 251-2700
(320) 229-5109

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP3052
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
050551640
MN
Enumeration date
05/11/2006
Last updated
07/09/2009
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