Individual
MR. DEAN RALPH DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3232 BUCHANAN ST NE, MINNEAPOLIS, MN 55418-2274
(612) 789-9596
Mailing address
3232 BUCHANAN ST NE, MINNEAPOLIS, MN 55418-2274
(612) 789-9596
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1218
MN
Other
Enumeration date
01/23/2007
Last updated
07/09/2007
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