Individual
DR. MAXINE MARILYN WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD., L.P.
Contact information
Practice address
430 OAK GROVE ST, SUITE 302, MINNEAPOLIS, MN 55403-3253
(612) 871-4336
Mailing address
430 OAK GROVE ST, SUITE 302, MINNEAPOLIS, MN 55403-3253
(612) 871-4336
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0866
MN
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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