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Individual

JAMES JOSEPH DAURORA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
13214 KERRY LN, EDEN PRAIRIE, MN 55346-3140
(952) 457-0860
Mailing address
13214 KERRY LN, EDEN PRAIRIE, MN 55346-3140
(952) 457-0860

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP1030
MN
103TC1900X
Counseling Psychologist
Primary
LO1030
MN
103TC1900X
Counseling Psychologist
LP1030
MN
103TF0000X
Family Psychologist
LP1030
MN

Other

Enumeration date
07/20/2006
Last updated
02/18/2021
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