Individual
MS. THRACE A. SORYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.
Contact information
Practice address
2124 DUPONT AVE. SO., SUITE G1, MPLS, MN 55405
(612) 374-2194
Mailing address
2124 DUPONT AVE. SO., SUITE G1, MPLS, MN 55405
(612) 374-2194
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2562
MN
Other
Enumeration date
07/26/2005
Last updated
02/04/2009
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