Individual
MS. JEAN LINDA UDESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 81ST AVENUE NORTH EAST, SPRING LAKE PARK, MN 55432
(763) 780-3036
(763) 780-0784
Mailing address
103 WINDSOR LANE, NEW BRIGHTON, MN 55112
(651) 631-2127
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
MN
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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