Individual
ANN M JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
1082 ENGLEWOOD AVE, SAINT PAUL, MN 55104-1503
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3630
MN
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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