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Individual

DR. MINDY SUE MAGRANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
8601 W BRYN MAWR AVE, BLDG B1, SUITE 101, CHICAGO, IL 60631-3570
(773) 695-0900
(773) 695-0700
Mailing address
5508 N GLENWOOD AVE, CHICAGO, IL 60640-1217
(773) 383-2593

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71007281
IL

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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