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Individual

SUSAN WESTERLIND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY. D., LP

Contact information

Practice address
110 2ND ST. S., STE 301, WAITE PARK, MN 56387-1314
(320) 252-2976
(320) 656-1570
Mailing address
110 2ND ST. S., STE 301, WAITE PARK, MN 56387-1314
(320) 252-2976
(320) 656-1570

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4889
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
468462000
MN
01
LP4889
LICENSE
MN
Enumeration date
02/21/2008
Last updated
10/15/2011
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