Individual
JEAN L PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP, MA
Contact information
Practice address
40 11TH ST, CLOQUET, MN 55720-1817
(218) 879-4559
(218) 879-0282
Mailing address
1401 E 1ST ST, DULUTH, MN 55805-2407
(218) 728-4491
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0957
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
594751100
—
MN
Enumeration date
09/25/2006
Last updated
09/15/2014
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