Individual
DONALD FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
(218) 327-1274
Mailing address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP5338
MN
Other
Enumeration date
10/01/2010
Last updated
11/26/2012
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