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Individual

DOUGLAS SCOTT DUMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
2432 SEABURY AVE, MINNEAPOLIS, MN 55406-1454
(612) 729-9869
(612) 729-0201
Mailing address
2432 SEABURY AVE, MINNEAPOLIS, MN 55406-1454
(612) 729-9869
(612) 729-0201

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3301
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LP3301
LICENCED PSYCHOLOGIST
MN
Enumeration date
02/14/2018
Last updated
02/14/2018
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