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Individual

MS. SANDRA D THORNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
7760 FRANCE AVE S, OFFICE 1118, EDINA, MN 55435-5800
(952) 886-7275
(952) 886-7273
Mailing address
7760 FRANCE AVE S, OFFICE 1118, EDINA, MN 55435-5800
(952) 886-7275
(952) 886-7273

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1894
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
552053300
MN
Enumeration date
03/28/2007
Last updated
01/04/2012
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